Healthcare Provider Details

I. General information

NPI: 1669436473
Provider Name (Legal Business Name): ABBAS ABBEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 08/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 N MADISON ST
QUINCY FL
32351
US

IV. Provider business mailing address

23 N MADISON ST
QUINCY FL
32351
US

V. Phone/Fax

Practice location:
  • Phone: 850-627-3600
  • Fax: 850-627-1175
Mailing address:
  • Phone: 850-627-3600
  • Fax: 850-627-1175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME0047707
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: