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NPI Code Detail

MEDICARE: JAMES J DE CUBAS M.D.

MEDICARE: JAMES J DE CUBAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME39444FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013909886
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES J DE CUBAS M.D.
Provider Business Mailing Address
First Line : 1851 OAK LN
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1533
Country : US
Telephone Number : 407-897-2138
Fax Number :
Provider Business Practice Location Address
First Line : 5142 CURRY FORD RD
Second Line :
City : ORLANDO
State : FL
Zip : 32812-8744
Country : US
Telephone Number : 407-381-5533
Fax Number : 407-381-1142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 10/16/2015

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