Healthcare Provider Details

I. General information

NPI: 1023062999
Provider Name (Legal Business Name): AVIVA ABOSCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 N KENDALL DR STE 405W
MIAMI FL
33176-2132
US

IV. Provider business mailing address

8950 N KENDALL DR STE 405W
MIAMI FL
33176-2132
US

V. Phone/Fax

Practice location:
  • Phone: 786-972-6170
  • Fax:
Mailing address:
  • Phone: 786-972-6170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME176471
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: