| Doctor Name: | DR. JUAN R CABAN-JIMENEZ |
| NPI Number: | 1811161045 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. D. |
| License Number: | ACN 502 |
| Business Practice Address: | 619 S Marion Ave Lake City, FL - 320255808 |
| Business Phone Number: | 3867553016 |
| Business Fax Number: | |
| Mailing Address: | 1505 Fort Clarke Blvd, Apt 1208 GAINESVILLE |
| State: | FL |
| Postal Code: | 326067182 |
| Phone Number: | 7875386353 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 10/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN 502 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |