Provider Demographics
NPI:1386699072
Name:CAMBRIDGE, ROBERT ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ADAM
Last Name:CAMBRIDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5741
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32793-5741
Mailing Address - Country:US
Mailing Address - Phone:407-628-2273
Mailing Address - Fax:407-628-1025
Practice Address - Street 1:2828 CASA ALOMA WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2223
Practice Address - Country:US
Practice Address - Phone:407-628-2273
Practice Address - Fax:407-628-1025
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00656422084N0400X, 2084N0600X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115510OtherAMERIGROUP
FL8581208006OtherCIGNA
FL57965OtherBLUE CROSS BLUE SHIELD
FLF55661OtherTRICARE
FLN193336OtherSTAYWELL
FLF55661OtherFHHS
FLP00062546OtherRAILROAD MEDICARE
FL260872300Medicaid
FL57965OtherBLUE CROSS BLUE SHIELD