Provider Demographics
NPI:1740229368
Name:CABAN, KIM MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:MARIE
Last Name:CABAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2201 BRICKELL AVE
Mailing Address - Street 2:APT 90
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2123
Mailing Address - Country:US
Mailing Address - Phone:305-856-4412
Mailing Address - Fax:305-858-3745
Practice Address - Street 1:2201 BRICKELL AVE
Practice Address - Street 2:APT 90
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2123
Practice Address - Country:US
Practice Address - Phone:305-856-4412
Practice Address - Fax:305-858-3745
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2012-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 953442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14302Medicare UPIN