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Individual

MS. JENNIFER EDEN CABALLERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1921 WALDEMERE ST STE 705, SARASOTA, FL 34239-2913
(941) 366-5864
Mailing address
1921 WALDEMERE ST STE 705, SARASOTA, FL 34239-2913
(941) 366-5864
(941) 316-9819

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9106259
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016967300
FL
Enumeration date
10/31/2011
Last updated
01/21/2022
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