MEDICARE: DR. WILLIAM RENGIFO CAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME124828	FL
2	207RG0100X	Gastroenterology Physician	ME124828	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154551653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM RENGIFO CAM MD

Provider Business Mailing Address
First Line	:	501 LIVE OAK ST STE B
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7300
Country	:	US
Telephone Number	:	386-424-5248
Fax Number	:	386-424-5209

Provider Business Practice Location Address
First Line	:	501 LIVE OAK ST STE B
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7300
Country	:	US
Telephone Number	:	386-424-5248
Fax Number	:	386-424-5209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	06/03/2020

Similar Medicare Providers

1922176429 — DR. TARA BETH WILSON M.D.
Practice Location Address:

501 LIVE OAK ST
NEW SMYRNA BEACH, FL
32168-7300

Practice Phone: 386-274-0250
Practice Fax:

1144519018 — BEIBEI OELRICH M.D. PHD
Practice Location Address:

501 LIVE OAK ST STE A
NEW SMYRNA BEACH, FL
32168-7300

Practice Phone: 386-243-4856
Practice Fax: 386-231-6582

1851727069 — SUSAN M STOVALL NP
Practice Location Address:

501 LIVE OAK ST STE B
NEW SMYRNA BEACH, FL
32168-7300

Practice Phone: 386-424-5248
Practice Fax: 386-424-5249

1801335898 — CALVIN WILLIAMS
Practice Location Address:

501 LIVE OAK ST STE B
NEW SMYRNA BEACH, FL
32168-7300

Practice Phone: 386-231-3600
Practice Fax: 386-231-3600

1497255145 — BEATRIZ LETICIA JUNQUEIRA MD
Practice Location Address:

501 LIVE OAK ST STE A
NEW SMYRNA BEACH, FL
32168-7300

Practice Phone: 386-243-4856
Practice Fax: 386-231-6582

1255976213 — KATHERINE VANHOVE PA-C
Practice Location Address:

501 LIVE OAK ST STE B
NEW SMYRNA BEACH, FL
32168-7300

Practice Phone: 386-518-3671
Practice Fax:

Directions to “ DR. WILLIAM RENGIFO CAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.