Individual
JAIME CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5730 LAKE UNDERHILL RD, ORLANDO, FL 32807-4366
(407) 322-8645
Mailing address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
(407) 269-8986
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME94483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274070200
—
FL
Enumeration date
08/19/2006
Last updated
05/12/2020
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