Provider Demographics
NPI:1619232683
Name:CABALLE, DANIELE ASHLEY SMITH
Entity Type:Individual
Prefix:MISS
First Name:DANIELE
Middle Name:ASHLEY SMITH
Last Name:CABALLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:ROBERT SMITH
Other - Last Name:CABALLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2437 LAKE VISTA CT
Mailing Address - Street 2:APT 107
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-6470
Mailing Address - Country:US
Mailing Address - Phone:412-721-4100
Mailing Address - Fax:
Practice Address - Street 1:315 N LAKEMONT AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3205
Practice Address - Country:US
Practice Address - Phone:407-830-6412
Practice Address - Fax:407-830-8413
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist