MEDICARE: CAMERON ALF CORP

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1760243703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMERON ALF CORP

Provider Business Mailing Address
First Line	:	3208 W MINNIEHAHA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-4604
Country	:	US
Telephone Number	:	813-405-8064
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 W MINNIEHAHA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-4604
Country	:	US
Telephone Number	:	813-405-8064
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXIS ARTEAGA
Credential	:
Telephone Number	:	813-405-8064

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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Directions to “CAMERON ALF CORP ” Practice Location

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