IVAN D CAMACHO
Physician at 12 St, Miami, FL

License number
Florida 12860
Issued Date
Jun 3, 2008
Effective Date
Apr 29, 2011
Expiration Date
Jun 2, 2012
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
79 SW 12Th St #1107, Miami, FL 33130
Phone
(305) 987-9375
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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