Camelot Healthcare Management Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HME909 Issued in FL

Legal business name

CAMELOT HEALTHCARE MANAGEMENT INC.

Practice address

3381 US Highway 17-92 West
Haines City, FL 33844

Phone

(863) 293-6533

Fax

(863) 293-4722

NPI assigned

Sep 16, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Angel Arcieno

Title

President

Phone

(305) 632-5834

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Suncare Respiratory Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1720073679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 US HIGHWAY 17-92 WEST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-293-6533",
            "fax_number": "863-293-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 US HIGHWAY 17-92 WEST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-293-6533",
            "fax_number": "863-293-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT HEALTHCARE MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "ARCIENO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-5834",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "HME909",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "HME909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025377400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncare Respiratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Haines City, FL
• Providers in Haines City, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.