Provider Demographics
NPI:1366609679
Name:FRANCISCO CAMERO, M.D.
Entity type:Organization
Organization Name:FRANCISCO CAMERO, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WIFE/ OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:HOLMES
Authorized Official - Last Name:CAMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-832-2537
Mailing Address - Street 1:11010 DAVID ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-3481
Mailing Address - Country:US
Mailing Address - Phone:228-832-2537
Mailing Address - Fax:228-832-2656
Practice Address - Street 1:11010 DAVID ST
Practice Address - Street 2:SUITE B
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-3481
Practice Address - Country:US
Practice Address - Phone:228-832-2537
Practice Address - Fax:228-832-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSB30040Medicare UPIN