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NPI Code Detail

MEDICARE: OMAR CAMINERO PTA

MEDICARE:   OMAR  CAMINERO  PTA
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
1225200000XPhysical Therapy AssistantPTA 10214FL
2225200000XPhysical Therapy Assistant2336MA

General Provider Information

NPI Number : 1023379187
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMAR CAMINERO PTA
Provider Business Mailing Address
First Line : 1680 WINDORAH WAY
Second Line : APT. B
City : WEST PALM BEACH
State : FL
Zip : 33411-1961
Country : US
Telephone Number : 561-623-7471
Fax Number :
Provider Business Practice Location Address
First Line : 1680 WINDORAH WAY
Second Line : APT. B
City : WEST PALM BEACH
State : FL
Zip : 33411-1961
Country : US
Telephone Number : 561-623-7471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 06/06/2012

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Directions to “ OMAR CAMINERO PTA” Practice Location

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