MEDICARE: DR. JORGE BANO CABALLERO D.O.

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
1	207Q00000X	Family Medicine Physician	OS8336	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356383384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE BANO CABALLERO D.O.

Provider Business Mailing Address
First Line	:	1909 BEACH BLVD STE 102
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-2643
Country	:	US
Telephone Number	:	904-246-2752
Fax Number	:	904-246-2758

Provider Business Practice Location Address
First Line	:	1909 BEACH BLVD STE 102
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-2643
Country	:	US
Telephone Number	:	904-246-2752
Fax Number	:	904-246-2758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	05/22/2025

Similar Medicare Providers

1932166477 — MS. KRISTI L HICKEY LMHC
Practice Location Address:

1909 BEACH BLVD STE 201
JACKSONVILLE BEACH, FL
32250-2643

Practice Phone: 904-296-0853
Practice Fax: 904-246-6629

1205854171 — MENDEZ FAMILY CARE PA
Practice Location Address:

1909 BEACH BLVD STE 102
JACKSONVILLE BEACH, FL
32250-2643

Practice Phone: 904-246-2752
Practice Fax: 904-246-2758

1073670279 — LAURA MARIE TRIOLA ARNP
Practice Location Address:

1909 BEACH BLVD STE 102
JACKSONVILLE, FL
32250-2643

Practice Phone: 904-246-2752
Practice Fax: 904-246-2758

1013116052 — DR. MONINA ILANO GEDA D.O.
Practice Location Address:

1909 BEACH BLVD STE 102
JACKSONVILLE, FL
32250-2643

Practice Phone: 904-246-2752
Practice Fax: 904-246-2758

1629463526 — JOHN RICHARD CROSSFIELD, LMHC, MAC, PA
Practice Location Address:

1909 BEACH BLVD STE 201
JACKSONVILLE BEACH, FL
32250-2643

Practice Phone: 904-853-5900
Practice Fax: 904-853-5885

1417535188 — REBEKAH WATSON APRN
Practice Location Address:

1909 BEACH BLVD STE 102
JACKSONVILLE BEACH, FL
32250-2643

Practice Phone: 904-246-2752
Practice Fax:

Directions to “ DR. JORGE BANO CABALLERO D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.