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General NPI Number Information
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NPI Number | 1942485289
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Entity Type | Individual
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Provider Name | THOMAS ABRAHAM M.D
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Gender | Male
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Dates
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Enumeration Date | 01/06/2008
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 205 JFK DR
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City | ATLANTIS
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State | FL
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Zip | 33462-1151
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Country | US
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Telephone | 561-432-8935
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Fax | 561-432-8937
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Provider Business Mailing Address
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Address Line | 13001 SOUTHERN BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9203
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Country | US
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Telephone | 877-832-2652
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Fax | 800-792-9021
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME102232
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT186819
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License Number State | PA
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