Provider Demographics
NPI:1235379389
Name:DR. V. EDWARD CAMBAS, P.A.
Entity Type:Organization
Organization Name:DR. V. EDWARD CAMBAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CAMBAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-433-4773
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU77714Medicare UPIN
FL55525Medicare PIN