Healthcare Provider Details

I. General information

NPI: 1811099120
Provider Name (Legal Business Name): INGRID A MERCEDES ABREU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 NW 43RD ST STE A1
GAINESVILLE FL
32606-8138
US

IV. Provider business mailing address

3600 NW 43RD ST STE A1
GAINESVILLE FL
32606-8138
US

V. Phone/Fax

Practice location:
  • Phone: 352-872-5755
  • Fax: 352-872-5102
Mailing address:
  • Phone: 352-872-5755
  • Fax: 352-872-5102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1582
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: