Provider Demographics
NPI:1518012582
Name:CABAN, FRANCIS ALBERTO (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:ALBERTO
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 1:109 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4950
Mailing Address - Country:US
Mailing Address - Phone:813-654-2544
Mailing Address - Fax:813-653-4391
Practice Address - Street 1:109 MARGARET ST
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5203
Practice Address - Country:US
Practice Address - Phone:813-654-2544
Practice Address - Fax:813-653-4391
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME056060174400000X
FLME56060207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No174400000XOther Service ProvidersSpecialist
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL070010457OtherMEDICARE RAILROAD PROVIDE
FL218834OtherAVMED PROVIDER NUMBER
FL0085192OtherGHI PROVIDER NUMBER
FL196601Medicaid
FL070010457OtherMEDICARE RAILROAD PROVIDE
FL09615YMedicare PIN