Individual
DR. JOSE I CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3067 TAMIAMI TRL, UNIT 2, PORT CHARLOTTE, FL 33952-6619
(941) 258-3515
(941) 258-3519
Mailing address
3067 TAMIAMI TRL, UNIT 2, PORT CHARLOTTE, FL 33952-6619
(941) 258-3515
(941) 258-3519
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME57563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000305000
—
FL
05
—
278507205
—
FL
Enumeration date
09/28/2006
Last updated
08/03/2012
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