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Individual

JAQUELINE MARIETTE FREYRE-CUBANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
844 N THORNTON AVE, ORLANDO, FL 32803-4003
(407) 398-6470
(407) 398-6872
Mailing address
844 N THORNTON AVE, ORLANDO, FL 32803-4003
(407) 398-6470
(407) 398-6872

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME98628
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278293600
FL
Enumeration date
05/14/2007
Last updated
02/28/2013
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