| Victoria A Camba, DO | |
|
2200 Ne 15th Ter, Wilton Manors, FL 33305-2315 | |
| (954) 565-6739 | |
| Not Available |
| Full Name | Victoria A Camba |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 2200 Ne 15th Ter, Wilton Manors, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730178955 | NPI | - | NPPES |
| P00451233 | Other | RR MCR | |
| 15350 | Other | FL | BCBS |
| 264081300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS8584 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 05405 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| West Florida Hospital | Pensacola, FL | Hospital |
| Greenview Regional Hospital | Bowling green, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 398 |
| Emergency Medicine Services Of Ky Llc | 9335505569 | 42 |
| Genesis Health System | 6103829338 | 268 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria A Camba, DO 2200 Ne 15th Ter, Wilton Manors, FL 33305-2315 Ph: (954) 565-6739 | Victoria A Camba, DO 2200 Ne 15th Ter, Wilton Manors, FL 33305-2315 Ph: (954) 565-6739 |
David Allan Malkevich, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 733 Nw 23rd St, Wilton Manors, FL 33311 Phone: 954-661-7495 Fax: 954-553-0225 |