Individual
JOHN EDDIE CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C, CST
Contact information
Practice address
2091 AUGUSTA, WESTON, FL 33326-2313
(954) 802-5134
Mailing address
2091 AUGUSTA, WESTON, FL 33326-2313
(954) 802-5134
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-447
FL
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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