MEDICARE: MS. ILEANA APONTE-CAMACHO MD

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	208D00000X	General Practice Physician	17450	PR
2	208D00000X	General Practice Physician	ACN573	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IA127X	OTHER	FL	MEDICARE UPIN

Other Identifiers

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

General Provider Information

NPI Number	:	1851537633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ILEANA APONTE-CAMACHO MD

Provider Business Mailing Address
First Line	:	11310 S ORANGE BLOSSOM TRL STE 109
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-9421
Country	:	US
Telephone Number	:	407-413-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	4365 HUNTERS PARK LN # 10
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7614
Country	:	US
Telephone Number	:	407-413-3200
Fax Number	:	407-286-4419

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

Provider Enumeration Date	:	12/27/2008
Last Update Date	:	09/17/2021

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Directions to “ MS. ILEANA APONTE-CAMACHO MD” Practice Location

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