Provider Demographics
NPI:1992875579
Name:OCAMPO, CARLOS HUMBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:HUMBERTO
Last Name:OCAMPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CARLOS
Other - Middle Name:HUMBERTO
Other - Last Name:OCAMPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11073 LEDGEMENT LN
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6420
Mailing Address - Country:US
Mailing Address - Phone:321-438-9282
Mailing Address - Fax:407-656-8328
Practice Address - Street 1:424 N DILLARD ST
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-2817
Practice Address - Country:US
Practice Address - Phone:407-656-7711
Practice Address - Fax:407-656-8328
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 83808208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics