Provider Demographics
NPI:1013105626
Name:FRANCIS A CABAN MD PA
Entity Type:Organization
Organization Name:FRANCIS A CABAN MD PA
Other - Org Name:CABAN SKIN INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:CABAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:813-654-2544
Mailing Address - Street 1:109 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5203
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL196601Medicaid
FL196601Medicaid
FLD38360Medicare UPIN
FLAG023Medicare PIN