Healthcare Provider Details

I. General information

NPI: 1164931242
Provider Name (Legal Business Name): ABIGAIL KATHRYN FLEISCHMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4451 BAYOU BLVD
PENSACOLA FL
32503-2601
US

IV. Provider business mailing address

6501 CAROLINE ST
MILTON FL
32570-4582
US

V. Phone/Fax

Practice location:
  • Phone: 850-416-7619
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9384140
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: