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NPI 1053640250

NPI 1053640250 : DAVID W CABRERA MD PA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1053640250
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAVID W CABRERA MD PA 
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Dates
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    Enumeration Date     |    12/17/2009
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    Last Update Date     |    12/17/2009
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Provider Practice Location Address
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    Address Line         |    1313 SW 27TH AVE SUITE C
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33145-1252
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    Country              |    US
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    Telephone            |    305-649-7979
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    Fax                  |    305-649-1257
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Provider Business Mailing Address
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    Address Line         |    1313 SW 27TH AVE SUITE C
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33145-1252
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    Country              |    US
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    Telephone            |    305-649-7979
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    Fax                  |    305-649-1257
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DAVID W CABRERA 
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    Credential           |    MD
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    Telephone            |    305-649-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207KA0200X
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    Taxonomy Name        |    Allergy Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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