Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Camille Hazlewood

Individual provider Family Nurse Practitioner · NPI 1083299325

Camille Hazlewood is a Nurse Practitioner in Sanford, Florida. Qualified in 2020, 6 years ago. Practices with Quantum Practitioner Services LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Florida, Kentucky and Texas.

Years since qualifying
6
Licensed in
FL, KY, TX
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

905 Historic Goldsboro Blvd
Sanford, FL 32771-2415
Phone: (407) 337-6992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11009829 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1009892 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4051200 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1220312 (TX)

Record details

NPI number1083299325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2021
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Quantum Practitioner Services Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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