Provider Demographics
NPI:1649644162
Name:ANTONIO CUBANO, M.D., P.A.
Entity type:Organization
Organization Name:ANTONIO CUBANO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:CUBANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-732-7266
Mailing Address - Street 1:352 ENGLENOOK DR
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-1803
Mailing Address - Country:US
Mailing Address - Phone:407-732-7266
Mailing Address - Fax:407-732-7310
Practice Address - Street 1:352 ENGLENOOK DR
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-1803
Practice Address - Country:US
Practice Address - Phone:407-732-7266
Practice Address - Fax:407-732-7310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-20
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty