MEDICARE: IRA JOEL ABRAMSON, M.D. 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	174400000X	Specialist	ME0010870	FL

General Provider Information

NPI Number	:	1790091965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRA JOEL ABRAMSON, M.D. PA

Provider Business Mailing Address
First Line	:	12900 NE 17TH AVE
Second Line	:	SUITE 205
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2058
Country	:	US
Telephone Number	:	305-893-5725
Fax Number	:	305-893-0002

Provider Business Practice Location Address
First Line	:	12900 NE 17TH AVE
Second Line	:	SUITE 205
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2058
Country	:	US
Telephone Number	:	305-893-5725
Fax Number	:	305-893-0002

Authorized Official
Title or Position	:	OWNER
Name	:	DR. IRA JOEL ABRAMSON
Credential	:	M.D.
Telephone Number	:	305-893-5725

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	08/26/2010

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