Cambo, Jorge Luis

Cambo, Jorge Luis is an sole proprietor health care provider with primary practice located at 3300 E Halifax Crossing Blvd , Deltona FL 32725-2911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cambo, Jorge Luis can be contacted via phone (386) 425-6100.

Contact Information

Primary practice address
3300 E Halifax Crossing Blvd Deltona FL 32725-2911
Phone: (386) 425-6100
Fax: (386) 425-6101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME48428 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME48428 Florida

Profile Details

NPI number 1417924812
LBN Legal business name Cambo, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Oct 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417924812 NPPES
Florida Other 61529 BCBS
Florida MEDICAID 061454800 BCBS

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