Healthcare Provider Details

I. General information

NPI: 1659892511
Provider Name (Legal Business Name): ABRAM SIDNEY ARNOLD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD, BOX 100278
GAINESVILLE FL
32610-0278
US

IV. Provider business mailing address

2600 SW ARCHER RD, , BOX 100278
GAINESVILLE FL
32610-0278
US

V. Phone/Fax

Practice location:
  • Phone: 352-594-4523
  • Fax:
Mailing address:
  • Phone: 352-594-4523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberOS23579
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS16939
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: