MEDICARE: DR. ORLANDO G CABALLERO 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
1	207R00000X	Internal Medicine Physician	ME0056174	FL

General Provider Information

NPI Number	:	1417944117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO G CABALLERO M.D.

Provider Business Mailing Address
First Line	:	333 ARTHUR GODFREY RD
Second Line	:	SUITE 408
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3641
Country	:	US
Telephone Number	:	786-497-0690
Fax Number	:	786-497-0693

Provider Business Practice Location Address
First Line	:	333 ARTHUR GODFREY RD
Second Line	:	SUITE 408
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3641
Country	:	US
Telephone Number	:	786-497-0690
Fax Number	:	786-497-0693

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	09/15/2007

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