Individual
EZEQUIEL CARABALLO NIEBLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 HOLSTEIN ST, SAINT CLOUD, FL 34772-9214
(407) 818-9652
Mailing address
4160 HOLSTEIN ST, SAINT CLOUD, FL 34772-9214
(407) 818-9652
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024806
PR
208D00000X
General Practice Physician
Primary
17257
PR
Other
Enumeration date
01/27/2026
Last updated
02/17/2026
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