MEDICARE: DR. CARLOS F CABALLERO 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	ME69014	FL

General Provider Information

NPI Number	:	1730241043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS F CABALLERO MD

Provider Business Mailing Address
First Line	:	1801 ARLINGTON ST
Second Line	:	SUITE 2
City	:	SARASOTA
State	:	FL
Zip	:	34239-3502
Country	:	US
Telephone Number	:	941-917-8365
Fax Number	:	941-917-7014

Provider Business Practice Location Address
First Line	:	1801 ARLINGTON ST
Second Line	:	SUITE 2
City	:	SARASOTA
State	:	FL
Zip	:	34239-3502
Country	:	US
Telephone Number	:	941-917-8365
Fax Number	:	941-917-7014

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

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	05/08/2013

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