MEDICARE: CAMILA GUADALUPE BAHAMONDE

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	163W00000X	Registered Nurse	9555475	FL

General Provider Information

NPI Number	:	1982433462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILA GUADALUPE BAHAMONDE

Provider Business Mailing Address
First Line	:	9530 PAINTE CREEK CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-5926
Country	:	US
Telephone Number	:	407-470-0965
Fax Number	:

Provider Business Practice Location Address
First Line	:	8410 S ORANGE BLOSSOM TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7906
Country	:	US
Telephone Number	:	689-610-4800
Fax Number	:

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

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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Directions to “ CAMILA GUADALUPE BAHAMONDE ” Practice Location

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