Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kellie Camacho, PA-C

Individual provider Surgical Physician Assistant · NPI 1366853889

MS. Kellie Camacho, PA-C is a Physician Assistant in Coral Gables, Florida. Qualified in 2011, 15 years ago. Practices with The Derm Group LLP, a 32-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3275 Ponce De Leon Blvd
Coral Gables, FL 33134-7251
Phone: (305) 461-2000
Fax: (786) 228-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9107864 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9107864 (FL)

Record details

NPI number1366853889
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 19, 2014
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020
Mailing address11924 Forest Hill Blvd Ste 10a-411, Wellington, FL 33414-6256

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Derm Group Llp — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Coral Gables