Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH0007174 | FL |
NPI | 1003984790 |
---|---|
Provider Name | Dr. Victor Edward Cambas |
First Address | Pembroke Pines, FL 33026-1957 |
Second Address | Pembroke Pines, FL 33026-1957 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 16/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U77714 | (02) |