Provider Demographics
NPI:1144086026
Name:CARCAMO CARE PEDIATRICS, INC
Entity type:Organization
Organization Name:CARCAMO CARE PEDIATRICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARCAMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-668-5519
Mailing Address - Street 1:PO BOX 2442
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32704-2442
Mailing Address - Country:US
Mailing Address - Phone:863-204-9485
Mailing Address - Fax:863-204-9015
Practice Address - Street 1:2320 NORTH BLVD W
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-8998
Practice Address - Country:US
Practice Address - Phone:863-204-9485
Practice Address - Fax:863-204-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty