Healthcare Provider Details

I. General information

NPI: 1245142819
Provider Name (Legal Business Name): CLAUDINEI TOLEDO DE CAMARGO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7441 WAYNE AVE APT 14A
MIAMI BEACH FL
33141-2541
US

IV. Provider business mailing address

7441 WAYNE AVE APT 14A
MIAMI BEACH FL
33141-2541
US

V. Phone/Fax

Practice location:
  • Phone: 929-453-7410
  • Fax:
Mailing address:
  • Phone: 929-453-7410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA194492
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9518517
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: