EXILLETTE ETIENNE CAMILLE (NPI# 1255970760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255970760 |
| Entity Type | Individual |
| Full Name | EXILLETTE ETIENNE CAMILLE |
| Credential | FNP |
| Practice Address |
1905 Clint Moore Rd Boca Raton FL 33496-2658 |
| Mailing Address |
5493 Barnstead Cir Lake Worth FL 33463-6674 |
| Practice Telephone | 5612886153 |
| Practice Fax Number | 5612886087 |
| Mailing Telephone | 5615772917 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F11190577 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1905 CLINT MOORE RD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831174242 | Brian K Kaplan | Internal Medicine | 1905 Clint Moore Rd, Suite 204, Boca Raton, FL 33496-2658 | 2005-12-08 |
| 1578914800 | Jennifer Maria Gold | Physician Assistant | 1905 Clint Moore Rd, Suite 215, Boca Raton, FL 33496-2658 | 2016-06-28 |
| 1083073423 | Mr Health Group LLC | Clinic/Center | 1905 Clint Moore Rd, Ste 305, Boca Raton, FL 33496-2658 | 2016-02-13 |
| 1578932216 | Caroline E Rangel | Physician Assistant | 1905 Clint Moore Rd, Suite 309, Boca Raton, FL 33496-2658 | 2015-09-23 |
| 1083092829 | Central Palm Beach Physicians & Urgent Care Inc | Specialist | 1905 Clint Moore Rd, Suite 308, Boca Raton, FL 33496-2658 | 2015-05-13 |
| 1114304102 | Daniel S. Kovacs, M.d., P.a. | Plastic Surgery | 1905 Clint Moore Rd, Suite 101, Boca Raton, FL 33496-2658 | 2015-04-29 |
| 1497145957 | Stewart M. Kaskel M.d. | Internal Medicine | 1905 Clint Moore Rd, Ste 310, Boca Raton, FL 33496-2658 | 2015-02-04 |
| 1154735819 | Elite Dermatology and Aesthetic Institute, LLC | Family Medicine | 1905 Clint Moore Rd, Suite 203, Boca Raton, FL 33496-2658 | 2014-06-20 |
| 1427490002 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1905 Clint Moore Rd, Suite 301, Boca Raton, FL 33496-2658 | 2013-07-23 |
| 1922441005 | Steven Schuster M.d., P.a. | Plastic Surgery | 1905 Clint Moore Rd, Suite 101, Boca Raton, FL 33496-2658 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584927 | Hadley Stephens | Nurse Practitioner | 6070 Glendale Dr, Boca Raton, FL 33433-3843 | 2020-09-30 |
| 1710594221 | Michael Lawrence Kieffer | Nurse Practitioner | 20064 Ocean Key Dr, Boca Raton, FL 33498-4526 | 2020-09-29 |
| 1457967614 | Gabrielle Scott | Nurse Practitioner | 844 Broken Sound Pkwy Nw Apt 203, Boca Raton, FL 33487-3662 | 2020-09-22 |
| 1578177515 | East Boca Family Care | Nurse Practitioner | 4899 Nw 4th Ave, Boca Raton, FL 33431-4724 | 2020-09-08 |
| 1447862685 | Nadine Nalerio-choudhry | Nurse Practitioner | 3270 Saint James Dr, Boca Raton, FL 33434-3373 | 2020-08-19 |
| 1477163889 | Anna Marie Hoo | Nurse Practitioner | 9960 Central Park Blvd N Ste 350, Boca Raton, FL 33428-1753 | 2020-08-01 |
| 1518575000 | Rebecca Christine Long | Nurse Practitioner | 3377 Nw 26th Ave, Boca Raton, FL 33434-3419 | 2020-07-21 |
| 1881212009 | Benjamin Neuman | Nurse Practitioner | 22038 Las Brisas Cir, Boca Raton, FL 33433-4809 | 2020-07-14 |
| 1528684602 | Jennifer Leigh Piraino | Nurse Practitioner | 6 Royal Palm Way Unit 211, Boca Raton, FL 33432-8728 | 2020-06-24 |
| 1932736287 | Erika Shea Anderson | Nurse Practitioner | 677 W Royal Palm Rd, Boca Raton, FL 33486-4664 | 2020-03-26 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
Please comment or provide details below to improve the information on EXILLETTE ETIENNE CAMILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.