Provider Demographics
NPI:1336585272
Name:CAMARDA, JENNIE L (MA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIE
Middle Name:L
Last Name:CAMARDA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 OVERCASH DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-4801
Mailing Address - Country:US
Mailing Address - Phone:321-446-9608
Mailing Address - Fax:
Practice Address - Street 1:1230 OVERCASH DR
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-4801
Practice Address - Country:US
Practice Address - Phone:321-446-9608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist