MEDICARE: DR. ABRAHAM ALFONSO REMIGIO M.D.

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	207Q00000X	Family Medicine Physician	ME137116	FL

General Provider Information

NPI Number	:	1770937955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM ALFONSO REMIGIO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15543
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33318-5543
Country	:	US
Telephone Number	:	954-408-4655
Fax Number	:	954-408-4656

Provider Business Practice Location Address
First Line	:	7540 NW 5TH ST STE 5
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1615
Country	:	US
Telephone Number	:	954-408-4655
Fax Number	:	954-408-4656

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2016
Last Update Date	:	10/09/2025

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