Individual provider · NPI-1

Dr. Jaime D Abuan, MD

Family Medicine · Lakeland, FL

NPI number1265411755

StatusActive

Last updated in NPPESJul 20, 2022

Details

NPI: 1265411755
Entity type: Individual (NPI-1)
Name: Dr. Jaime D Abuan
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Jan 12, 2006
Certification date: Jul 20, 2022
Last updated: Jul 20, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	ME90989	FL	Yes

Practice location

2815 Lakeland Hills Blvd
Lakeland, FL 33805-2224

Phone 863-284-5000 · Fax 863-284-6904

Mailing address

1324 Lakeland Hills Blvd.
Attn: Managed Care Dept.
Lakeland, FL 33805

Other practice locations

1130 1st St S
Winter Haven, FL 33880-3903

Phone 863-229-7486 · Fax 863-280-6614

1130 1st St S
Winter Haven, FL 33880-3903

Phone 863-229-7486 · Fax 863-280-6614

3030 Harden Blvd
Lakeland, FL 33803

Phone 863-284-5000 · Fax 863-284-6716

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