Provider Demographics
NPI:1073560348
Name:CABRAL, AMADEO H (MD,FACS)
Entity Type:Individual
Prefix:DR
First Name:AMADEO
Middle Name:H
Last Name:CABRAL
Suffix:
Gender:M
Credentials:MD,FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 430167
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-0167
Mailing Address - Country:US
Mailing Address - Phone:305-669-2255
Mailing Address - Fax:305-928-1100
Practice Address - Street 1:6705 S RED RD STE 302
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3638
Practice Address - Country:US
Practice Address - Phone:305-669-2255
Practice Address - Fax:305-928-1100
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80308208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261317400Medicaid
FLH45312Medicare UPIN
FL03236ZMedicare PIN