Provider Demographics
NPI:1902904931
Name:CLARKE-CAMERON, DAYNA J (MD)
Entity Type:Individual
Prefix:MS
First Name:DAYNA
Middle Name:J
Last Name:CLARKE-CAMERON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12805 SW 47TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6054
Mailing Address - Country:US
Mailing Address - Phone:305-725-7779
Mailing Address - Fax:
Practice Address - Street 1:581 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169
Practice Address - Country:US
Practice Address - Phone:305-651-1690
Practice Address - Fax:305-652-4457
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine