Healthcare Provider Details

I. General information

NPI: 1184253296
Provider Name (Legal Business Name): ANGELO ABELLI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2338 IMMOKALEE RD # 186
NAPLES FL
34110-1445
US

IV. Provider business mailing address

11750 BIRD RD
MIAMI FL
33175-3530
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-5000
  • Fax: 305-485-2962
Mailing address:
  • Phone: 305-222-5202
  • Fax: 305-485-2962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME159162
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: