Provider Demographics
NPI:1003984790
Name:CAMBAS, VICTOR EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:EDWARD
Last Name:CAMBAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12191 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1957
Mailing Address - Country:US
Mailing Address - Phone:954-433-4773
Mailing Address - Fax:954-436-3681
Practice Address - Street 1:12191 TAFT ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-1957
Practice Address - Country:US
Practice Address - Phone:954-433-4773
Practice Address - Fax:954-436-3681
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U77714Medicare UPIN
FL55525Medicare PIN