Healthcare Provider Details

I. General information

NPI: 1295066579
Provider Name (Legal Business Name): PATRICK Z ABUZENI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 01/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 PALERMO AVE
CORAL GABLES FL
33134-6606
US

IV. Provider business mailing address

248 PALERMO AVE
CORAL GABLES FL
33134-6606
US

V. Phone/Fax

Practice location:
  • Phone: 305-444-2888
  • Fax: 305-444-2333
Mailing address:
  • Phone: 305-444-2888
  • Fax: 305-444-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME 717111
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: