Healthcare Provider Details

I. General information

NPI: 1316866239
Provider Name (Legal Business Name): CAMERON LE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8733 ROOKS PARK CIR APT 427
TAMPA FL
33619-6692
US

IV. Provider business mailing address

8733 ROOKS PARK CIR APT 427
TAMPA FL
33619-6692
US

V. Phone/Fax

Practice location:
  • Phone: 850-387-5450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15856
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: