Provider Demographics
NPI:1801941489
Name:CABRERA, EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:CABRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6365 COLLINS AVE
Mailing Address - Street 2:# 2503
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-9620
Mailing Address - Country:US
Mailing Address - Phone:305-775-2002
Mailing Address - Fax:
Practice Address - Street 1:20 N ORANGE AVE
Practice Address - Street 2:# 101
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2414
Practice Address - Country:US
Practice Address - Phone:407-246-1848
Practice Address - Fax:407-246-5101
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME049401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine