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Contact Information

ANTHONY R DICAMILLO, DO
10001 S EASTERN AVE STE 203
HENDERSON, NV89052-3908
 Phone: 702-616-5801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ANTHONY R DICAMILLO · (Male)

NPI # 1831483213
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/03/2011
Last updated 01/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # DO1937
  • NV License # SL0804
Hospital affiliation(s)
  • FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER - (Acute Care)
    301 MEMORIAL MEDICAL PARKWAY
    DAYTONA BEACH, FL 32117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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