MEDICARE: BRIAN L CAMERON M.D.

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	208600000X	Surgery Physician	ME69138	FL

General Provider Information

NPI Number	:	1538127592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN L CAMERON M.D.

Provider Business Mailing Address
First Line	:	4106 W LAKE MARY BLVD
Second Line	:	SUITE 330
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3315
Country	:	US
Telephone Number	:	407-833-9195
Fax Number	:	407-833-9308

Provider Business Practice Location Address
First Line	:	4106 W LAKE MARY BLVD
Second Line	:	SUITE 330
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3315
Country	:	US
Telephone Number	:	407-833-9195
Fax Number	:	407-833-9308

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	07/08/2007

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Directions to “ BRIAN L CAMERON M.D.” Practice Location

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