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Individual

DR. JENNINE M. CABANELLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12777 FOREST HILL BLVD,, SUITE 1502, WELLINGTON, FL 33414
(561) 333-3440
(855) 309-7252
Mailing address
12777 FOREST HILL BLVD,, SUITE 1502, WELLINGTON, FL 33414
(561) 333-3440
(855) 309-7252

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME83781
FL
207W00000X
Ophthalmology Physician
Primary
ME83781
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121524700
FL
Enumeration date
10/10/2007
Last updated
06/28/2024
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