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NPI Code Detail

MEDICARE: ROBERTO CABRERA H.A.S

MEDICARE: ROBERTO CABRERA H.A.S
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
1237700000XHearing Instrument SpecialistAS4383FL

General Provider Information

NPI Number : 1104113547
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO CABRERA H.A.S
Provider Business Mailing Address
First Line : 7205 BONNEVAL RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-7565
Country : US
Telephone Number : 904-296-0098
Fax Number : 904-861-3899
Provider Business Practice Location Address
First Line : 12341 YELLOW BLUFF RD STE 4
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-2014
Country : US
Telephone Number : 904-296-0098
Fax Number : 904-696-3422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 03/17/2018

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