Healthcare Provider Details

I. General information

NPI: 1962329383
Provider Name (Legal Business Name): RAMI ABAZA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 S CONGRESS AVE
ATLANTIS FL
33462
US

IV. Provider business mailing address

2324 E LAKEVIEW AVE
PENSACOLA FL
32503
US

V. Phone/Fax

Practice location:
  • Phone: 561-313-9539
  • Fax:
Mailing address:
  • Phone: 963-994-6329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: