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Individual

DR. JOSE A CABRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3501 S UNIVERSITY DR, SUITE 6, DAVIE, FL 33328-2001
(954) 486-4005
(954) 497-3857
Mailing address
4740 N STATE ROAD 7, SUITE 201, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 28395
FL
2084P0800X
Psychiatry Physician
28395
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66990300
FL
Enumeration date
01/11/2007
Last updated
11/28/2012
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