| Aba Prime Services Llc | |
|
1412 Nw 10th Ave Cape Coral FL 33993-6009 | |
| (239) 691-7202 | |
| Not Available |
| Full Name | Aba Prime Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1412 Nw 10th Ave, Cape Coral, Florida |
| Authorized Official Name and Position | Agnelio Artiles Nunez (PRESIDENT) |
| Authorized Official Contact | 2396917202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Prime Services Llc 1412 Nw 10th Ave Cape Coral FL 33993-6009 Ph: (239) 691-7202 | Aba Prime Services Llc 1412 Nw 10th Ave Cape Coral FL 33993-6009 Ph: (239) 691-7202 |
| NPI Number | 1841022290 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841022290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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