Individual provider · Type 1 NPI

Kellie Camacho, PA-C

Medical Physician Assistant · Coral Gables, FL

NPI number 1366853889 Active

Practice location

3275 Ponce De Leon Blvd
Coral Gables, FL 33134-7251

Fax (786) 228-4035

Mailing address

11924 Forest Hill Blvd Ste 10A-411
Wellington, FL 33414-6256

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9107864 (FL)
Medical Physician Assistant Primary 363AM0700XPA9107864 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1366853889

Kellie Camacho, PA-C's National Provider Identifier is 1366853889, issued on May 19, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coral Gables, FL. The record was last updated on Mar 12, 2020.