Provider Demographics
NPI:1467526301
Name:CABAN, ANGEL MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:MIGUEL
Last Name:CABAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 SW 46TH CT
Mailing Address - Street 2:SUITE 220
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5708
Mailing Address - Country:US
Mailing Address - Phone:352-291-0239
Mailing Address - Fax:352-291-0254
Practice Address - Street 1:4600 SW 46TH CT STE 340
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5782
Practice Address - Country:US
Practice Address - Phone:352-291-0239
Practice Address - Fax:352-291-0254
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3529208600000X
FLME107917208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002667900Medicaid
FLDZ398ZMedicare PIN