Physician Compare National (NPI:1396765939)

HEALTHCARE PROVIDER: LEONILA D CAMBA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396765939
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123191954
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080726000030
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAMBA
	Individual professional last name
Provider First Name	LEONILA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2004 THONOTOSASSA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	PLANT CITY
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	335632915
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPHS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100132
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTH FLORIDA BAPTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y