Provider Demographics
NPI:1891748679
Name:CAMACHO, ANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5210 LINTON BLVD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6542
Mailing Address - Country:US
Mailing Address - Phone:561-499-0660
Mailing Address - Fax:561-499-4094
Practice Address - Street 1:5210 LINTON BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6542
Practice Address - Country:US
Practice Address - Phone:561-499-0660
Practice Address - Fax:561-499-4094
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME73366207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5646ZMedicare PIN
FLG86339Medicare UPIN