Healthcare Provider Details

I. General information

NPI: 1780254979
Provider Name (Legal Business Name): CAMERON CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 S SHORE BLVD STE 200
WELLINGTON FL
33414-6509
US

IV. Provider business mailing address

6586 HYPOLUXO RD STE 334
LAKE WORTH FL
33467-7678
US

V. Phone/Fax

Practice location:
  • Phone: 877-412-7272
  • Fax:
Mailing address:
  • Phone: 954-868-5201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BLAINE CAMERON
Title or Position: OWNER
Credential: MD
Phone: 877-412-7272