Provider Demographics
NPI:1316818446
Name:CUBA, LILIAN (CSFA)
Entity type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:CUBA
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 CITRON GOLD BLVD APT 220
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-7432
Mailing Address - Country:US
Mailing Address - Phone:813-724-2633
Mailing Address - Fax:
Practice Address - Street 1:3121 CITRON GOLD BLVD APT 220
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-7432
Practice Address - Country:US
Practice Address - Phone:813-724-2633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24476246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty