Provider Demographics
NPI:1003936402
Name:CABIESES, CECILI (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:CECILI
Middle Name:
Last Name:CABIESES
Suffix:
Gender:F
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6559 RACQUET CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5096
Mailing Address - Country:US
Mailing Address - Phone:954-797-9696
Mailing Address - Fax:954-797-9695
Practice Address - Street 1:6559 RACQUET CLUB DR
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-5096
Practice Address - Country:US
Practice Address - Phone:954-797-9696
Practice Address - Fax:954-797-9695
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor