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NPI Code Detail

MEDICARE: JAQUELINE MARIETTE FREYRE-CUBANO MD

MEDICARE: JAQUELINE MARIETTE FREYRE-CUBANO MD
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 PhysicianME98628FL

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 : 1952516742
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAQUELINE MARIETTE FREYRE-CUBANO MD
Provider Business Mailing Address
First Line : 844 N THORNTON AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4003
Country : US
Telephone Number : 407-398-6470
Fax Number : 407-398-6872
Provider Business Practice Location Address
First Line : 844 N THORNTON AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4003
Country : US
Telephone Number : 407-398-6470
Fax Number : 407-398-6872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 02/28/2013

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Directions to “ JAQUELINE MARIETTE FREYRE-CUBANO MD” Practice Location

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