Individual
JACKELINE MARIE CABRERA-SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 COLLEGE AVE, DAVIE, FL 33314-7721
(954) 262-1297
Mailing address
3301 COLLEGE AVE, DAVIE, FL 33314-7721
(954) 262-1297
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA751
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2022
Last updated
07/24/2023
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