| Antonio Cubano, M.d., P.a. | |
|
352 Englenook Dr Debary FL 32713-1803 | |
| (407) 732-7266 | |
| (407) 732-7310 |
| Full Name | Antonio Cubano, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 352 Englenook Dr, Debary, Florida |
| Authorized Official Name and Position | Antonio Miguel Cubano (DIRECTOR) |
| Authorized Official Contact | 4077327266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Cubano, M.d., P.a. 352 Englenook Dr Debary FL 32713-1803 Ph: (407) 732-7266 | Antonio Cubano, M.d., P.a. 352 Englenook Dr Debary FL 32713-1803 Ph: (407) 732-7266 |
| NPI Number | 1649644162 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 8628371507 |
|---|---|
| Medicare Enrollment ID | O20160127001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649644162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Antonio Cubano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881895951 PECOS PAC ID: 1456425578 Enrollment ID: I20080807000036 |
| Provider Name | Ana Teresa Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407878945 PECOS PAC ID: 1052734951 Enrollment ID: I20200710001843 |
| Provider Name | Kiara Ivette Nieves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811535321 PECOS PAC ID: 8628421294 Enrollment ID: I20240130003634 |
| Provider Name | Parinaz Fard-aghaie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194494583 PECOS PAC ID: 6305299603 Enrollment ID: I20240201003510 |
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