MEDICARE: DR. BELICE CABRERA MD

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	207R00000X	Internal Medicine Physician	ME170410	FL

General Provider Information

NPI Number	:	1598330813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELICE CABRERA MD

Provider Business Mailing Address
First Line	:	2228 S KIRKMAN RD STE 206
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-2308
Country	:	US
Telephone Number	:	407-615-8180
Fax Number	:	407-615-8182

Provider Business Practice Location Address
First Line	:	2228 S KIRKMAN RD STE 206
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-2308
Country	:	US
Telephone Number	:	407-615-8180
Fax Number	:	407-615-8182

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

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	09/10/2024

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