Antonio Cubano, M.D., P.a.
Organization Active NPI Child & Adolescent Psychiatry Physician · Debary, FL
NPI 1649644162 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1649644162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- Legal business name
- ANTONIO CUBANO, M.D., P.A.
- Practice address
- 352 Englenook Dr
Debary, FL 32713-1803 - Phone
- (407) 732-7266
- Fax
- (407) 732-7310
- NPI assigned
- Nov 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Antonio Miguel Cubano, M.D.
- Title
- Director
- Phone
- (407) 732-7266
Practitioners 9
-
Antonio Miguel Cubano, M.D.
-
Parinaz Fard-Aghaie, RMHI - IMH
-
Manuela C Marin, LMHC
-
Ana Teresa Rodriguez, LCSW
-
Pamela Leann Yarrington, PA-C, MPAS
-
Anthony Capozzi, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160127001136 | FL | Part B Supplier - Clinic/Group Practice | 8628371507 |
Receives reassigned benefits from 5 practitioners Practice locations: Debary, FL; Orlando, FL |
National Provider Directory
Locations
352 Englenook Dr
Debary, FL 32713
Phone (407) 732-7266
725 Primera Blvd
Ste 140
Lake Mary, FL 32746
Phone (407) 732-3274
10801 Dylan Loren Cir
Ste B
Orlando, FL 32825
Phone (407) 674-9646
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician |
2084P0804X | Yes |
Addresses
Primary practice location
352 Englenook Dr
Debary, FL 32713-1803
Mailing address
352 Englenook Dr
Debary, FL 32713-1803
Phone (407) 732-7266
Other providers in Debary, FL
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- American Doula Association
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- Meyzgan Amin
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- Casey Lynn Attenberger
- Avalon Massage & Body Works Inc.
- Yosleidys Baez Perez
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All providers in Debary, FL · Child & Adolescent Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.