Antonio De Jesus Carcamo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME96797 Issued in FL

Practice address

2320 North Blvd W
Davenport, FL 33837-8998

Phone

(863) 204-9485

Fax

(863) 204-9015

NPI assigned

Aug 30, 2006

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antonio.carcamo.1@28800.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carcamo Care Pediatrics, Inc

  • Pediatrics Physician
  • Davenport, FL
  • NPI 1144086026
  NPD Authorized official
• Carcamo Pediatrics, Inc

  • Pediatrics Physician
  • Oviedo, FL
  • NPI 1508113895
  NPD (past) Authorized official
• Saltzman, Tanis, Pittel, Levin and Jacobson, LLC

  dba Pediatric Associates

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1235879636
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)
• Sunshine State Pediatrics of Central Florida Inc

  • Pediatrics Physician
  • Oviedo, FL
  • NPI 1184854176
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1740399799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2442",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338362442",
            "telephone_number": "863-204-9485",
            "fax_number": "863-204-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378998",
            "telephone_number": "863-204-9485",
            "fax_number": "863-204-9015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3274 GREENWALD WAY N",
            "address_purpose": "LOCATION",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410728",
            "country_code": "US",
            "telephone_number": "407-249-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARCAMO",
        "first_name": "ANTONIO",
        "middle_name": "DE JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME96797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278948500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "56596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Denise Campbell
• Cristin Campbell, NP-C
• Lourdes Patricia Campo Sr.
• Monique M Cannon
• Carcamo Care Pediatrics, Inc
• Carifi Breast Care PA
• Vincent G Carifi, M.D.
• Luis Andres Carmona Gomez, RBT-24-392249
• Lissette Carmona-Roman, PSYD
• Rebecca Cristina Carral

• Pediatrics Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.