IVAN D CAMACHO
Physician at Boca Rancho Dr, Boca Raton, FL

License number
Florida 8986
Issued Date
Jun 24, 2005
Effective Date
Nov 7, 2006
Expiration Date
Jun 24, 2007
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
22220 Boca Rancho Dr, Boca Raton, FL 33428
1611 NW 12Th Ave, Miami, FL 33136
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about IVAN D CAMACHO at bizstanding.com

Ivan D Camacho MD

1600 NW 10 Ave, Miami, FL 33136

Categories:
Dermatology Physicians & Surgeons
Phone:
(305) 585-7340 (Phone)

IVAN D. CAMACHO, M.D., PA

Miami, FL

Registration:
Jan 3, 2013
Addresses:
79 SW 12 Ph 3907, Miami, FL 33130 (Physical)
79 SW 12 St, Miami, FL 33130
State ID:
P13000001020
Business type:
Florida Profit Corporation
President:
Ivan D Camacho (President), 79 SW 12 Ph 3907, Miami, FL 33130 (Physical)
Agent:
Camacho, Ivan,79 SW 12 Ph 3907, Miami, FL 33130 (Physical)
EIN:
46-1673552

Ivan D. Camacho, M.D., PA

1611 NW 12 Ave, Miami, FL 33136

Industry:
Medical Doctor's Office, Nonclassifiable Establishments

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