Individual
CARMEN A CABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13742 VISTA DEL LAGO BLVD, CLERMONT, FL 34711-8044
(352) 530-0432
Mailing address
13742 VISTA DEL LAGO BLVD, CLERMONT, FL 34711-8044
(352) 530-0432
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
C152101628490
FL
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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