Individual
DR. 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
024806
PR
208D00000X
General Practice Physician
Primary
17257
PR
208D00000X
General Practice Physician
Primary
ACN1798
FL
Other
Enumeration date
01/27/2026
Last updated
06/14/2026
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