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General NPI Number Information
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NPI Number | 1639602170
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Entity Type | Individual
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Provider Name | NOEL Y. CABAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 821 DEBARY AVE
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City | DELTONA
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State | FL
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Zip | 32725-8805
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Country | US
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Telephone | 386-860-5448
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Fax |
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Provider Business Mailing Address
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Address Line | 1394 DUNLAWTON AVE APT 202
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City | PORT ORANGE
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State | FL
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Zip | 32127-4760
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Country | US
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Telephone | 787-224-3779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH-12147
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License Number State | FL
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