Individual provider · NPI-1

Carlos Cambo Cortes

Emergency Medicine · Daytona Beach, FL

NPI number1639707698
StatusActive
Last updated in NPPESDec 6, 2024

Details

NPI
1639707698
Entity type
Individual (NPI-1)
Name
Carlos Cambo Cortes
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2020
Certification date
Dec 6, 2024
Last updated
Dec 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineOS21249FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Phone 386-425-4000

Mailing address

1143 Raintree Pl
Winter Park, FL 32789-2563

Other practice locations

5001 Hardy St
Hattiesburg, MS 39402-1308

Phone 601-296-3963

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