Provider Demographics
NPI:1194140079
Name:CAMBLOR, TOMAS EDWARD (SFIDC)
Entity type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:EDWARD
Last Name:CAMBLOR
Suffix:
Gender:M
Credentials:SFIDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 COLONY CIR APT C
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32233-2070
Mailing Address - Country:US
Mailing Address - Phone:843-263-2295
Mailing Address - Fax:
Practice Address - Street 1:LCSRON2
Practice Address - Street 2:BON HOMME RICHARD STREET BUILDING #2480
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32228-0046
Practice Address - Country:US
Practice Address - Phone:904-270-3401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman