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Organization

JORGE L. CABRERA, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORGE L CABRERA MD (PRESIDENT)
(786) 621-9777
Entity
Organization

Contact information

Practice address
175 W 49TH ST, HIALEAH, FL 33012-3711
(786) 621-9777
(786) 621-9601
Mailing address
175 W 49TH ST, HIALEAH, FL 33012-3711
(786) 621-9777
(786) 621-9601

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006-500-500
MEDICAID GROUP
FL
05
057-143-100
FL
Enumeration date
07/19/2012
Last updated
11/29/2012
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