Provider Demographics
NPI:1306133004
Name:CABBAD, NICOLE CHRISTINE (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:CHRISTINE
Last Name:CABBAD
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
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Mailing Address - Street 1:120 INTERNATIONAL PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:HEATHROW
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5033
Mailing Address - Country:US
Mailing Address - Phone:866-400-3376
Mailing Address - Fax:407-829-6637
Practice Address - Street 1:120 INTERNATIONAL PKWY
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5031
Practice Address - Country:US
Practice Address - Phone:866-400-3376
Practice Address - Fax:407-829-6637
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2848971208200000X
FLME131243208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery