Healthcare Provider Details

I. General information

NPI: 1962475129
Provider Name (Legal Business Name): LORI A ABRAMS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 S TAMIAMI TRL SUITE 202
SARASOTA FL
34239-5101
US

IV. Provider business mailing address

3131 S TAMIAMI TRL SUITE 202
SARASOTA FL
34239-5101
US

V. Phone/Fax

Practice location:
  • Phone: 941-953-5340
  • Fax: 941-955-8568
Mailing address:
  • Phone: 941-953-5340
  • Fax: 941-955-8568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberOS 7418
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: