Healthcare Provider Details

I. General information

NPI: 1962306340
Provider Name (Legal Business Name): ERIKA I CAMACHO CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-8272
  • Fax: 352-627-4645
Mailing address:
  • Phone: 352-265-8272
  • Fax: 352-627-4645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberRPT74714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: