Healthcare Provider Details

I. General information

NPI: 1861507709
Provider Name (Legal Business Name): LEON ABRAM MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 NW 9TH CT
BOCA RATON FL
33486-2214
US

IV. Provider business mailing address

950 NW 9TH CT
BOCA RATON FL
33486-2214
US

V. Phone/Fax

Practice location:
  • Phone: 561-362-9777
  • Fax: 561-362-0339
Mailing address:
  • Phone: 561-362-9777
  • Fax: 561-362-0339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberME0053772
License Number StateFL

VIII. Authorized Official

Name: DR. LEON J ABRAM
Title or Position: PRESIDENT
Credential: MD
Phone: 561-362-9777