| Dr Prosper Abitbol Pa | |
|
801 Meadows Rd Suite 107 Boca Raton FL 33486-2346 | |
| (561) 347-7400 | |
| (561) 347-7555 |
| Full Name | Dr Prosper Abitbol Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 Meadows Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Prosper Abitbol (OWNER) |
| Authorized Official Contact | 9543477400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prosper Abitbol Pa 801 Meadows Rd Suite 107 Boca Raton FL 33486-2346 Ph: (561) 347-7400 | Dr Prosper Abitbol Pa 801 Meadows Rd Suite 107 Boca Raton FL 33486-2346 Ph: (561) 347-7400 |
| NPI Number | 1568886323 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 02/13/2014 |
| Medicare PECOS PAC ID | 3173756822 |
|---|---|
| Medicare Enrollment ID | O20140502000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568886323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | OS7195 (Florida) | Primary |
| Provider Name | Prosper Abitbol |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033108030 PECOS PAC ID: 7618978545 Enrollment ID: I20070219000199 |
| Provider Name | Elizabeth Perdomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427433572 PECOS PAC ID: 7012212541 Enrollment ID: I20160222001904 |
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