Healthcare Provider Details

I. General information

NPI: 1225872195
Provider Name (Legal Business Name): VACA ABRAHAM MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 W FLAGLER ST STE 2H
MIAMI FL
33144-2069
US

IV. Provider business mailing address

8260 W FLAGLER ST STE 2H
MIAMI FL
33144-2069
US

V. Phone/Fax

Practice location:
  • Phone: 305-229-0551
  • Fax: 305-229-1823
Mailing address:
  • Phone: 305-229-0551
  • Fax: 305-229-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHARIEF M ABRAHAM
Title or Position: CEO
Credential: MD
Phone: 305-229-0551