Healthcare Provider Details

I. General information

NPI: 1417271362
Provider Name (Legal Business Name): HOWARD ABRAHAMS DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 03/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 ARTHUR GODFREY RD SUITE 400
MIAMI BEACH FL
33140-3326
US

IV. Provider business mailing address

960 ARTHUR GODFREY RD SUITE 400
MIAMI BEACH FL
33140-3326
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-4419
  • Fax:
Mailing address:
  • Phone: 305-532-4419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number17635
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HOWARD ABRAHAMS
Title or Position: PRSIDENT
Credential: DMD
Phone: 305-532-4419