Provider Demographics
NPI:1760503049
Name:FRANCISCO J CAMINO PA
Entity Type:Organization
Organization Name:FRANCISCO J CAMINO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAMINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-861-9599
Mailing Address - Street 1:7257 NW 4TH BLVD
Mailing Address - Street 2:#43
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1600
Mailing Address - Country:US
Mailing Address - Phone:352-861-9599
Mailing Address - Fax:352-861-9598
Practice Address - Street 1:1731 SW 2ND AVE
Practice Address - Street 2:SUITE B
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5179
Practice Address - Country:US
Practice Address - Phone:352-861-9599
Practice Address - Fax:352-861-9598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065355174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG00960Medicare UPIN