Provider Demographics
NPI:1770046799
Name:FOREMAN, CAMERON WINFIELD (MD)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:WINFIELD
Last Name:FOREMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 198175
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8175
Mailing Address - Country:US
Mailing Address - Phone:305-335-4135
Mailing Address - Fax:786-787-2567
Practice Address - Street 1:11801 SW 90TH ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2182
Practice Address - Country:US
Practice Address - Phone:305-595-1317
Practice Address - Fax:305-279-6813
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME175186207XS0114X
MO2024016755207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200144236Medicaid