Provider Demographics
NPI:1366869331
Name:CABEL, ANAMARIA
Entity Type:Individual
Prefix:
First Name:ANAMARIA
Middle Name:
Last Name:CABEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 E HALLANDALE BEACH BLVD STE M
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4833
Mailing Address - Country:US
Mailing Address - Phone:954-951-3001
Mailing Address - Fax:954-228-2199
Practice Address - Street 1:2500 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4834
Practice Address - Country:US
Practice Address - Phone:954-951-3001
Practice Address - Fax:954-228-2199
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN201051223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty