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Individual

CARLOS RAFAEL CABANAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1710 ERIN BROOKE DR, VALRICO, FL 33594-4055
(505) 206-8056
Mailing address
1710 ERIN BROOKE DR, VALRICO, FL 33594-4055
(505) 206-8056

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
11029788
FL

Other

Enumeration date
11/17/2023
Last updated
11/17/2023
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