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NPI Code Detail

MEDICARE: MR. EDWARD R ABREU DMD

MEDICARE: MR. EDWARD R ABREU DMD
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
11223G0001XGeneral Practice DentistryDN 19426FL

General Provider Information

NPI Number : 1679860407
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD R ABREU DMD
Provider Business Mailing Address
First Line : 117 N OAKWOOD AVE
Second Line :
City : BRANDON
State : FL
Zip : 33510-4629
Country : US
Telephone Number : 813-530-0991
Fax Number : 813-530-0986
Provider Business Practice Location Address
First Line : 117 N OAKWOOD AVE
Second Line :
City : BRANDON
State : FL
Zip : 33510-4629
Country : US
Telephone Number : 813-530-0991
Fax Number : 813-530-0986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 10/04/2016

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Directions to “ MR. EDWARD R ABREU DMD” Practice Location

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