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Provider Information for 1457732851


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Dr. JENNIFER MARIE LAPORTE CABALLERO M.D.


Other Names:  
Former Name: 
JENNIFER MARIE LAPORTE

Sex: Female

NPI: 1457732851
Last Updated: 2020-05-18
Certification Date: 2020-05-18

Details

NameValue
NPI1457732851
Enumeration Date2015-06-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 919336
ORLANDO, FL 32891-0001
United States

Phone: 786-596-2314 | Fax:706-653-1230
 
Primary Practice Address 8900 N KENDALL DR
MIAMI, FL 33176-2118
United States

Phone: 786-596-1960 | Fax:706-653-1230
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 2085R0202X - Radiology - Diagnostic RadiologyFLME142258
No 390200000X - Student in an Organized Health Care Education/Training Program PR