MEDICARE: MARGARET VAN CAMP

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1518505866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET VAN CAMP

Provider Business Mailing Address
First Line	:	12220 HIGH ROCK WAY
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-2333
Country	:	US
Telephone Number	:	563-349-4242
Fax Number	:

Provider Business Practice Location Address
First Line	:	12220 HIGH ROCK WAY
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-2333
Country	:	US
Telephone Number	:	563-349-4242
Fax Number	:

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

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	06/29/2023

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Directions to “ MARGARET VAN CAMP ” Practice Location

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