MEDICARE: MISS ARCANGELA J CABRERA MSW

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1497194138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ARCANGELA J CABRERA MSW

Provider Business Mailing Address
First Line	:	627 SIESTA KEY CIR
Second Line	:	APT 3115
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-7787
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 S PERIMETER RD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-7122
Country	:	US
Telephone Number	:	954-908-0888
Fax Number	:

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

Provider Enumeration Date	:	06/16/2013
Last Update Date	:	06/16/2013

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