Individual provider Active NPI

Blas G Camilo, DOM

  • Acupuncturist
  • Tamarac, FL
National Provider Identifier
1912964727
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP800 Issued in FL
Practice address
7301 N University Dr
Suite 205
Tamarac, FL 33321-2919
Phone
(954) 934-0880
Fax
(954) 723-9759
NPI assigned
Apr 26, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP800 FL Primary

Addresses

Primary practice location

7301 N University Dr
Suite 205
Tamarac, FL 33321-2919

Mailing address

PO Box 450804
Sunrise, FL 33345-0804
Phone (954) 934-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP800FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1912964727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450804",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333450804",
            "telephone_number": "954-934-0880",
            "fax_number": "954-723-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N UNIVERSITY DR",
            "address_2": "SUITE 205",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212919",
            "telephone_number": "954-934-0880",
            "fax_number": "954-723-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILO",
        "first_name": "BLAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.