Provider Demographics
NPI:1598330813
Name:CABRERA, BELICE (MD)
Entity type:Individual
Prefix:DR
First Name:BELICE
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2228 S KIRKMAN RD STE 206
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2308
Mailing Address - Country:US
Mailing Address - Phone:407-615-8180
Mailing Address - Fax:407-615-8182
Practice Address - Street 1:2228 S KIRKMAN RD STE 206
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2308
Practice Address - Country:US
Practice Address - Phone:407-615-8180
Practice Address - Fax:407-615-8182
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME170410207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine