Cabanellas, Jennine M.

Cabanellas, Jennine M. is an sole proprietor health care provider with primary practice located at 12777 Forest Hill Blvd, Suite 1502, Wellington FL 33414. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Cabanellas, Jennine M. can be contacted via phone (561) 333-3440.

Contact Information

Primary practice address
12777 Forest Hill Blvd, Suite 1502 Wellington FL 33414
Phone: (561) 333-3440
Fax: (855) 309-7252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME83781 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME83781 Florida

Profile Details

NPI number 1003004540
LBN Legal business name Cabanellas, Jennine M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Jun 28th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003004540 NPPES
Florida MEDICAID 121524700

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