| Doctor Name: | MR. SAMUEL B CABRA |
| NPI Number: | 1205969326 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CCC-SLP |
| License Number: | SA8930 |
| Business Practice Address: | 9857 Saint Augustine Rd Jacksonville, FL - 322578853 |
| Business Phone Number: | 9048809001 |
| Business Fax Number: | |
| Mailing Address: | 11058 Percheron Dr, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322574724 |
| Phone Number: | 4102990885 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA8930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |