Provider Demographics
NPI:1871588004
Name:CAMELOT HEALTHCARE MANAGEMENT INC
Entity type:Organization
Organization Name:CAMELOT HEALTHCARE MANAGEMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCIERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-267-2278
Mailing Address - Street 1:4656 SW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4456
Mailing Address - Country:US
Mailing Address - Phone:305-267-2278
Mailing Address - Fax:305-267-2279
Practice Address - Street 1:2800 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1625
Practice Address - Country:US
Practice Address - Phone:863-386-4311
Practice Address - Fax:863-386-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHME1859332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4326560006Medicare ID - Type Unspecified