MEDICARE: NEYELIN FIGUEROA CAMACHO PA

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	PA9121046	FL

General Provider Information

NPI Number	:	1245109057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEYELIN FIGUEROA CAMACHO PA

Provider Business Mailing Address
First Line	:	575 W PARK DR APT 104
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-5338
Country	:	US
Telephone Number	:	786-355-2482
Fax Number	:

Provider Business Practice Location Address
First Line	:	11300 NW 87TH CT STE 141
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4520
Country	:	US
Telephone Number	:	786-464-5120
Fax Number	:

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

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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Directions to “ NEYELIN FIGUEROA CAMACHO PA” Practice Location

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