F M Abanilla Md Pa | |
3030 Us 27 S Avon Park FL 33825-9761 | |
(863) 314-0555 | |
(863) 314-0806 |
Full Name | F M Abanilla Md Pa |
---|---|
Speciality | Clinic/Center |
Location | 3030 Us 27 S, Avon Park, Florida |
Authorized Official Name and Position | Fernando Melocoton Abanilla (OWNER) |
Authorized Official Contact | 8633140555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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F M Abanilla Md Pa 3030 Us 27 S Avon Park FL 33825-9761 Ph: (863) 314-0555 | F M Abanilla Md Pa 3030 Us 27 S Avon Park FL 33825-9761 Ph: (863) 314-0555 |
NPI Number | 1245414911 |
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Provider Enumeration Date | 12/18/2007 |
Last Update Date | 04/15/2008 |
Medicare PECOS PAC ID | 5799866786 |
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Medicare Enrollment ID | O20080116000150 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245414911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ME0066898 (Florida) | Primary |
Provider Name | Fernando M Abanillo |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1558469338 PECOS PAC ID: 2668403593 Enrollment ID: I20071214000566 |
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