MEDICARE: ABACUS OT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588220446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABACUS OT LLC

Provider Business Mailing Address
First Line	:	3815 NE 166TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3855
Country	:	US
Telephone Number	:	305-318-9253
Fax Number	:

Provider Business Practice Location Address
First Line	:	3815 NE 166TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3855
Country	:	US
Telephone Number	:	305-318-9253
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. VINODAH SPERBER
Credential	:	OT/L
Telephone Number	:	305-318-9253

Provider Enumeration Date	:	05/16/2019
Last Update Date	:	05/16/2019

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Directions to “ABACUS OT LLC ” Practice Location

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