MEDICARE: MS. CAMILLE J DYER P.A.-C

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
1	363A00000X	Physician Assistant	PA9110521	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114923703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAMILLE J DYER P.A.-C

Provider Business Mailing Address
First Line	:	7593 W BOYNTON BEACH BLVD STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6162
Country	:	US
Telephone Number	:	561-966-7717
Fax Number	:	888-316-2198

Provider Business Practice Location Address
First Line	:	8440 LAKE WORTH RD STE 100
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33467
Country	:	US
Telephone Number	:	561-967-5033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	08/21/2025

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