MEDICARE: DR. SYED HASAN ABID MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME93983	FL
2	207RH0003X	Hematology & Oncology Physician	ME93983	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	KX111	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35009	OTHER	FL	BCBS FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013902006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED HASAN ABID MD

Provider Business Mailing Address
First Line	:	5000 PARK ST N STE 1017
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2236
Country	:	US
Telephone Number	:	727-344-6570
Fax Number	:	727-384-4388

Provider Business Practice Location Address
First Line	:	5000 PARK ST N STE 1017
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2236
Country	:	US
Telephone Number	:	727-344-6569
Fax Number	:	727-384-4388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	08/31/2020

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Directions to “ DR. SYED HASAN ABID MD” Practice Location

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