| German Camacho, MD | |
|
4090 S Ridgewood Ave, Port Orange, FL 32127-4501 | |
| (386) 761-0050 | |
| (386) 761-1167 |
| Full Name | German Camacho |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 27 Years |
| Location | 4090 S Ridgewood Ave, Port Orange, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912106071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 16108 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN270 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | Florida Department Of Children And Families |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| German Camacho, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | German Camacho, MD 4090 S Ridgewood Ave, Port Orange, FL 32127-4501 Ph: (386) 761-0050 |
Amer Zakaria, General Practice Medicare: Not Enrolled in Medicare Practice Location: 4090 S Ridgewood Ave, Port Orange, FL 32127 Phone: 386-387-5573 Fax: 407-564-2115 | |
Dr. Harison Rafael Parra, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 3953 S Nova Rd Ste A, Port Orange, FL 32127 Phone: 386-788-4911 Fax: 844-388-6186 |