MISS Melbourne Geneva Nicodam Camhol

NPI #1124390018 in Sunrise, Florida

Provider Information

NPI Number: 1124390018
Entity Type: Individual
Name: MISS Melbourne Geneva Nicodam Camhol
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 7, 2012
Last Updated: Feb 7, 2012

Practice Location

Address: 1580 SAWGRS CORP PKWY
Address 2: SUITE 100
City: Sunrise
State: Florida
ZIP Code: 33323-2859
Phone: (954) 739-4247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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