Individual
MABEL E CABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 103, JACKSONVILLE, FL 32216
(904) 345-7373
(904) 345-7372
Mailing address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 345-7776
(904) 345-7772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L0059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147493401
—
TX
Enumeration date
11/03/2006
Last updated
08/16/2018
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