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NPI Code Detail

MEDICARE: DR. JUAN J CABANILLAS DDS

MEDICARE: DR. JUAN J CABANILLAS DDS
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
11223P0700XProsthodonticsDN13883FL

General Provider Information

NPI Number : 1023263621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN J CABANILLAS DDS
Provider Business Mailing Address
First Line : 2717 E OAKLAND PARK BLVD
Second Line : SUITE # 100
City : FORT LAUDERDALE
State : FL
Zip : 33306-1664
Country : US
Telephone Number : 954-566-6200
Fax Number : 954-566-6204
Provider Business Practice Location Address
First Line : 3911 W ATLANTIC AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3902
Country : US
Telephone Number : 561-498-0050
Fax Number : 561-498-0841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2008
Last Update Date : 07/21/2022

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