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General NPI Number Information
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NPI Number | 1265167837
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Entity Type | Organization
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Legal Business Name | FLORA LORNA CABREROS MD PA
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 5982 BERRYHILL RD UNIT A
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City | MILTON
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State | FL
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Zip | 32570-4001
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Country | US
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Telephone | 850-626-4208
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Fax | 850-626-4211
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Provider Business Mailing Address
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Address Line | 5982 BERRYHILL RD UNIT A
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City | MILTON
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State | FL
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Zip | 32570-4001
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Country | US
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Telephone | 850-626-4208
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Fax | 850-626-4211
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Authorized Official
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Title or Position | OWNER
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Name | DR. FLORA LORNA CABREROS
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Credential | MD
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Telephone | 850-626-4208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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