Provider Demographics
NPI:1295436525
Name:IACUZIO ARAUJO, CAMMILAH (PT)
Entity type:Individual
Prefix:
First Name:CAMMILAH
Middle Name:
Last Name:IACUZIO ARAUJO
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8005
Mailing Address - Country:US
Mailing Address - Phone:321-842-8307
Mailing Address - Fax:321-842-7464
Practice Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 120
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8005
Practice Address - Country:US
Practice Address - Phone:321-842-8307
Practice Address - Fax:321-842-7464
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39689225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist