Individual
MARIELLA J CABRERA QUIJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
596 COURTLAND BLVD, DELTONA, FL 32738-8902
(407) 249-1234
(407) 249-1755
Mailing address
1651 N SEMORAN BLVD, ORLANDO, FL 32807-3575
(407) 249-1234
(407) 249-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME143374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105401200
—
FL
Enumeration date
04/24/2017
Last updated
05/19/2020
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