MEDICARE: DR. MICHAEL L ABDONEY DDS

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	DN0013445	FL

General Provider Information

NPI Number	:	1942460076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL L ABDONEY DDS

Provider Business Mailing Address
First Line	:	3515 WEST BAY TO BAY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629
Country	:	US
Telephone Number	:	813-250-0313
Fax Number	:	813-250-0810

Provider Business Practice Location Address
First Line	:	3515 WEST BAY TO BAY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629
Country	:	US
Telephone Number	:	813-250-0313
Fax Number	:	813-250-0810

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

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	06/24/2019

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