MEDICARE: ABINALES AND ABINALES 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	207Q00000X	Family Medicine Physician	ME27211	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB7531	OTHER		RAILROAD MEDICARE

General Provider Information

NPI Number	:	1619012275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABINALES AND ABINALES MD PA

Provider Business Mailing Address
First Line	:	PO BOX 20185
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622-0185
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	:	ST PETERSBURG
State	:	FL
Zip	:	33702-5410
Country	:	US
Telephone Number	:	727-526-4122
Fax Number	:	727-525-1230

Authorized Official
Title or Position	:	OWNER PROVIDER
Name	:	PACITA T ABINALES
Credential	:	MD
Telephone Number	:	727-526-4122

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	05/02/2008

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