NPI | 1275554248 |
---|---|
Doing Business As | JORGE L CABRERA MD |
Entity Type | Organization |
Authorized Contact | DIRENDIA SHACKELFORD Managed Care Spec Allscri PT S 800-680-0889 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME49402) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |