Healthcare Provider Details

I. General information

NPI: 1023870391
Provider Name (Legal Business Name): VICTORIA SOFIA ABINADER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 DOUGLAS AVE STE 2040
ALTAMONTE SPRINGS FL
32714-2004
US

IV. Provider business mailing address

1110 DOUGLAS AVE STE 2040 SUITE 2050
ALTAMONTE SPRINGS FL
32714-2004
US

V. Phone/Fax

Practice location:
  • Phone: 407-378-5832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMT4077
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: