Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH8169 | FL |
NPI | 1003936402 |
---|---|
Provider Name | Dr. Cecili Cabieses |
First Address | Lauderhill, FL 33319-5096 |
Second Address | Lauderhill, FL 33319-5096 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |