MEDICARE: DR. PACITA TIONGSON ABINALES M.D.

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	208D00000X	General Practice Physician	ME0027211	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	020013776	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	081175	OTHER		AVMED
3	208715	OTHER		AMERIGROUP
4	52971	OTHER	FL	BLUE C ROSS BLUE SHIELD
6	02682	OTHER	FL	PIN COUNTY SOCIAL SERVICE
7	02682	OTHER	FL	HEALTHEASE

General Provider Information

NPI Number	:	1528124757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PACITA TIONGSON ABINALES M.D.

Provider Business Mailing Address
First Line	:	7500 4TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-5410
Country	:	US
Telephone Number	:	727-526-4122
Fax Number	:	727-525-1230

Provider Business Practice Location Address
First Line	:	7500 4TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-5410
Country	:	US
Telephone Number	:	727-526-4122
Fax Number	:	727-525-1230

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

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	07/30/2008

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Directions to “ DR. PACITA TIONGSON ABINALES M.D.” Practice Location

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