Individual
DR. JUAN R CABAN-JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
1505 FORT CLARKE BLVD, APT 1208, GAINESVILLE, FL 32606-7182
(787) 538-6353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ACN-502
FL
208D00000X
General Practice Physician
ACN 502
FL
Other
Enumeration date
04/18/2008
Last updated
10/21/2014
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