Provider Demographics
NPI:1932702602
Name:CAMARGO, JULIO JR
Entity Type:Individual
Prefix:MR
First Name:JULIO
Middle Name:
Last Name:CAMARGO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7183 BARTON RD
Mailing Address - Street 2:
Mailing Address - City:OLMSTED TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44138-1012
Mailing Address - Country:US
Mailing Address - Phone:216-407-1684
Mailing Address - Fax:
Practice Address - Street 1:7183 BARTON RD
Practice Address - Street 2:
Practice Address - City:OLMSTED TWP
Practice Address - State:OH
Practice Address - Zip Code:44138-1012
Practice Address - Country:US
Practice Address - Phone:216-407-1684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1831534253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care