MEDICARE: GABRIELLA CABRERA

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
1	225X00000X	Occupational Therapist	OT16293	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1205254430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA CABRERA

Provider Business Mailing Address
First Line	:	580 BRIDGE CREEK BLVD
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4717
Country	:	US
Telephone Number	:	305-851-1376
Fax Number	:

Provider Business Practice Location Address
First Line	:	814 N MAIN ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4564
Country	:	US
Telephone Number	:	407-931-1014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2014
Last Update Date	:	03/18/2026

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Directions to “ GABRIELLA CABRERA ” Practice Location

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