MEDICARE: JOHN CAMERON DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	39	OH
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4396	FL

General Provider Information

NPI Number	:	1265097596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CAMERON DPM

Provider Business Mailing Address
First Line	:	26900 GEORGE ZEIGER DR APT 340
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-7612
Country	:	US
Telephone Number	:	419-260-5945
Fax Number	:

Provider Business Practice Location Address
First Line	:	6405 N FEDERAL HWY STE 405
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1414
Country	:	US
Telephone Number	:	954-771-5900
Fax Number	:	954-771-5959

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

Provider Enumeration Date	:	05/02/2019
Last Update Date	:	06/28/2022

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Directions to “ JOHN CAMERON DPM” Practice Location

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