Provider Demographics
NPI:1629415856
Name:NISRINE CABANI DMD LLC
Entity Type:Organization
Organization Name:NISRINE CABANI DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NISRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CABANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-948-2222
Mailing Address - Street 1:10106 FOXHURST CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-3762
Mailing Address - Country:US
Mailing Address - Phone:321-948-2222
Mailing Address - Fax:
Practice Address - Street 1:4371 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5349
Practice Address - Country:US
Practice Address - Phone:352-243-6808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty