Provider Demographics
NPI:1124112586
Name:CAMARA, AMANDA B (MD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:B
Last Name:CAMARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 COLLINS AVE
Mailing Address - Street 2:1105
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2317
Mailing Address - Country:US
Mailing Address - Phone:305-582-6384
Mailing Address - Fax:
Practice Address - Street 1:5775 COLLINS AVE
Practice Address - Street 2:1105
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2317
Practice Address - Country:US
Practice Address - Phone:305-582-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME669712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B79425Medicare UPIN