| 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 | 44 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 | 303 |
| 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 |
Kristine Ann Rynn, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 734 Elkcam Blvd, Deltona, FL 32725 Phone: 386-532-8200 Fax: 386-774-6862 |