Edgardo Luis Hernandez Camacho, CCPA, DC | |
335 Burns Road, #202, Palm Beach Gardens, FL 33410 | |
(561) 688-3838 | |
Not Available |
Full Name | Edgardo Luis Hernandez Camacho |
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Gender | Male |
Speciality | Chiropractor |
Location | 335 Burns Road, Palm Beach Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881378677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1202 (Florida) | Primary |
Provider Name | Royal Palm Beach Rehab, Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861724783 PECOS PAC ID: 3476683335 Enrollment ID: O20100621000030 |
Mailing Address | Practice Location Address |
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Edgardo Luis Hernandez Camacho, CCPA, DC 3335 Burns Rd Ste 202, Palm Beach Gardens, FL 33410-4311 Ph: (561) 578-4850 | Edgardo Luis Hernandez Camacho, CCPA, DC 335 Burns Road, #202, Palm Beach Gardens, FL 33410 Ph: (561) 688-3838 |
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