Provider Demographics
NPI:1568561348
Name:KAMERMAN, MAX L (MD)
Entity Type:Individual
Prefix:
First Name:MAX
Middle Name:L
Last Name:KAMERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6005
Mailing Address - Country:US
Mailing Address - Phone:239-262-3399
Mailing Address - Fax:239-261-1189
Practice Address - Street 1:775 1ST AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6005
Practice Address - Country:US
Practice Address - Phone:239-262-3399
Practice Address - Fax:239-261-1189
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0087205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267064000Medicaid
FL79510OtherBLUESHIELD OF FLORIDA
FLP00077343OtherRAILROAD MEDICARE
FL79510Medicare ID - Type Unspecified