Mr Rene Enrique Camacho- Cordoba, is a
Social Worker - Clinical based in Davie, Florida. Mr Rene Enrique Camacho- Cordoba is licensed to practice in Florida (license number MH16257) and his current practice location is
3440 S University Dr, Davie, Florida. He can be reached at his office (for appointments etc.) via phone at
(954) 424-6911.
NPI number for Mr Rene Enrique Camacho- Cordoba is 1962740027 and his current mailing address is 4740 N State Road 7, Lauderdale Lakes, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962740027.
Healthcare Provider's Profile
| Full Name | Mr Rene Enrique Camacho- Cordoba |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3440 S University Dr, Davie, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962740027
- Provider Enumeration Date: 01/24/2013
- Last Update Date: 10/14/2019
Medical Identifiers
Medical identifiers for Mr Rene Enrique Camacho- Cordoba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962740027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16892 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH16257 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | 004022 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | MH16257 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Rene Enrique Camacho- Cordoba is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Rene Enrique Camacho- Cordoba,
4740 N State Road 7,
Lauderdale Lakes, FL 33319-5839
Ph: (954) 486-4005 | Mr Rene Enrique Camacho- Cordoba,
3440 S University Dr,
Davie, FL 33328-2000
Ph: (954) 424-6911 |
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