Provider Demographics
NPI:1962696815
Name:CABAN, KARLA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:CABAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 S ORLANDO AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7102
Mailing Address - Country:US
Mailing Address - Phone:407-628-5500
Mailing Address - Fax:407-628-5505
Practice Address - Street 1:811 S ORLANDO AVE
Practice Address - Street 2:SUITE H
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7102
Practice Address - Country:US
Practice Address - Phone:407-628-5500
Practice Address - Fax:407-628-5505
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist