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NPI Code Detail

MEDICARE: DR. INEMESIT D ABIA M.D.

MEDICARE: DR. INEMESIT D ABIA M.D.
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
1207P00000XEmergency Medicine PhysicianME84077FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113079OTHERFLBLUE SHIELD

General Provider Information

NPI Number : 1982648705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INEMESIT D ABIA M.D.
Provider Business Mailing Address
First Line : 14050 NW 14TH ST
Second Line : SUITE 190
City : SUNRISE
State : FL
Zip : 33323-2865
Country : US
Telephone Number : 800-424-3672
Fax Number : 954-377-3042
Provider Business Practice Location Address
First Line : 7800 SHERIDAN ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-2536
Country : US
Telephone Number : 954-962-9650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/08/2007

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