Healthcare Provider Details

I. General information

NPI: 1659285880
Provider Name (Legal Business Name): ABIGAIL F MARSHALL RCSWI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 MARY ST STE 300
MIAMI FL
33133-5293
US

IV. Provider business mailing address

3250 MARY ST STE 300
MIAMI FL
33133-5293
US

V. Phone/Fax

Practice location:
  • Phone: 305-908-1115
  • Fax: 833-479-2098
Mailing address:
  • Phone: 305-908-1115
  • Fax: 833-479-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1902346513
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: