Healthcare Provider Details

I. General information

NPI: 1962696815
Provider Name (Legal Business Name): KARLA CABAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2007
Last Update Date: 09/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 S ORLANDO AVE SUITE H
WINTER PARK FL
32789-7102
US

IV. Provider business mailing address

811 S ORLANDO AVE SUITE H
WINTER PARK FL
32789-7102
US

V. Phone/Fax

Practice location:
  • Phone: 407-628-5500
  • Fax: 407-628-5505
Mailing address:
  • Phone: 407-628-5500
  • Fax: 407-628-5505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: