MEDICARE: MR. TONY ABBASSI 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	207R00000X	Internal Medicine Physician	ME75426	FL

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

General Provider Information

NPI Number	:	1679589188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TONY ABBASSI MD

Provider Business Mailing Address
First Line	:	760 NW 62ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-4332
Country	:	US
Telephone Number	:	305-325-9433
Fax Number	:

Provider Business Practice Location Address
First Line	:	760 NW 62ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-4332
Country	:	US
Telephone Number	:	305-325-9433
Fax Number	:

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	10/13/2020

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