JORGE LUIS CAMBO (NPI# 1417924812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417924812 |
| Entity Type | Individual |
| Full Name | JORGE LUIS CAMBO |
| Credential | MD |
| Practice Address |
3300 E Halifax Crossing Blvd Deltona FL 32725-2911 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3864256100 |
| Practice Fax Number | 3864256101 |
| Mailing Telephone | 3862264590 |
| Mailing Fax Number | 3862263371 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME48428 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME48428 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 61529 | 01 |
| FL | 061454800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40100 Highway 27, Davenport, FL 33837 | 8634224971 |
| Street Address |
3300 E HALIFAX CROSSING BLVD |
| City | DELTONA |
| State | FL |
| Zip Code | 32725-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154693562 | Jason Jorge Arellano | Surgery | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 | 2012-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649814054 | Emergency Medicine Professionals Pa | Emergency Medicine | 3120 Howland Blvd, Deltona, FL 32725-2905 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443965 | Baptist Hospital Inc | Emergency Medicine | 8888 Navarre Pkwy Ste 106, Navarre, FL 32566-3616 | 2020-10-07 |
| 1356958631 | Fg Rapid Results, LLC | Emergency Medicine | 115 Nw 167th St Ste 101, North Miami Beach, FL 33169-6052 | 2020-09-30 |
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1003454430 | South Florida Urgent Care Centers, LLC | Emergency Medicine | 1855 N Corporate Lakes Blvd Ste 2, Weston, FL 33326-3274 | 2019-12-17 |
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| 1871067264 | Eloquent Md Fl P.a. | Emergency Medicine | 21218 Saint Andrews Blvd Ste 238, Boca Raton, FL 33433-2435 | 2019-01-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JORGE LUIS CAMBO.
| 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.