MEDICARE: TONY ABBASSI MD PA

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	207R00000X	Internal Medicine Physician	ME75426	FL

General Provider Information

NPI Number	:	1306086970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TONY ABBASSI MD PA

Provider Business Mailing Address
First Line	:	760 NW 62ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-4332
Country	:	US
Telephone Number	:	786-391-1048
Fax Number	:	305-325-8826

Provider Business Practice Location Address
First Line	:	760 NW 62ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-4332
Country	:	US
Telephone Number	:	786-391-1048
Fax Number	:	786-391-1096

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. TONY ABBASSI
Credential	:	MD
Telephone Number	:	305-325-9122

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	10/13/2020

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