Organization
PEDIATRIC PROVIDERS OF S FLORIDA
Active
Other names
JORGE L CABRERA MD
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPEC- ALLSCRIPTS)
(800) 680-0889
Entity
Organization
Contact information
Practice address
464 W 51ST PL, HIALEAH, FL 33012-3620
(305) 551-1281
(305) 362-9138
Mailing address
464 W 51ST PL, HIALEAH, FL 33012-3620
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME49402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017854
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/22/2006
Last updated
08/22/2020
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