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NPI Code Detail

MEDICARE: MR. EMILE CAMM PA-C

MEDICARE: MR. EMILE CAMM PA-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
1363A00000XPhysician Assistant9121030FL

General Provider Information

NPI Number : 1407439615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMILE CAMM PA-C
Provider Business Mailing Address
First Line : 4010 W LA SALLE ST
Second Line :
City : TAMPA
State : FL
Zip : 33607-2309
Country : US
Telephone Number : 614-634-3258
Fax Number :
Provider Business Practice Location Address
First Line : 12902 USF MAGNOLIA DR
Second Line :
City : TAMPA
State : FL
Zip : 33612-9416
Country : US
Telephone Number : 888-663-3488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2021
Last Update Date : 03/08/2026

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Directions to “ MR. EMILE CAMM PA-C” Practice Location

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