Individual provider · NPI-1

Dr. Manuel Camposano Abendan, M.D.

Family Medicine · Pensacola, FL

NPI number1659387579
StatusActive
Last updated in NPPESMar 9, 2016

Details

NPI
1659387579
Entity type
Individual (NPI-1)
Name
Dr. Manuel Camposano Abendan
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 31, 2006
Last updated
Mar 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME30906FLYes

Practice location

14 W Jordan St
Pensacola, FL 32501-1736

Phone 850-436-4630 · Fax 850-436-2095

Mailing address

14 W Jordan St
Pensacola, FL 32501-1736

Phone 850-436-4630 · Fax 850-436-2095

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