| Camen Academy Llc | |
|
910 S 8th St Ste 120 Fernandina Beach FL 32034-6700 | |
| (407) 413-6789 | |
| Not Available |
| Full Name | Camen Academy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 910 S 8th St Ste 120, Fernandina Beach, Florida |
| Authorized Official Name and Position | David Aaron Lottman (CFO) |
| Authorized Official Contact | 4074136789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camen Academy Llc 2860 Falconhill Dr Apopka FL 32712-2443 Ph: () - | Camen Academy Llc 910 S 8th St Ste 120 Fernandina Beach FL 32034-6700 Ph: (407) 413-6789 |
| NPI Number | 1467918599 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467918599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
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