Jorge Luis Cambo, MD | |
3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 | |
(386) 425-6100 | |
(386) 425-6101 |
Full Name | Jorge Luis Cambo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 42 Years |
Location | 3300 E Halifax Crossing Blvd, Deltona, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417924812 | NPI | - | NPPES |
61529 | Other | FL | BCBS |
061454800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME48428 (Florida) | Secondary |
207P00000X | Emergency Medicine | ME48428 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Halifax Health /uf Health Medical Center Of Delton | Deltona, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Halifax Healthcare Systems Inc | 1254238090 | 283 |
Entity Name | Emergency Physician Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912973850 PECOS PAC ID: 6002712080 Enrollment ID: O20031210000537 |
Entity Name | Halifax Healthcare Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Entity Name | Ridgewood Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750862694 PECOS PAC ID: 6305199597 Enrollment ID: O20181106001193 |
Mailing Address | Practice Location Address |
---|---|
Jorge Luis Cambo, MD 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 226-4590 | Jorge Luis Cambo, MD 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 Ph: (386) 425-6100 |