Individual provider · NPI-1

Juan C Abanses, MD

Emergency Medicine, Pediatric Emergency Medicine · Tampa, FL

NPI number1699760678
StatusActive
Last updated in NPPESJul 12, 2023

Details

NPI
1699760678
Entity type
Individual (NPI-1)
Name
Juan C Abanses
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2005
Certification date
Jul 12, 2023
Last updated
Jul 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PP0204X Emergency Medicine, Pediatric Emergency MedicineME114914FLYes

Practice location

3001 W Dr Martin Luther King Jr Blvd
Em Dept
Tampa, FL 33607-6307

Phone 813-870-4000 · Fax 386-274-7801

Mailing address

Po Box 9790
Daytona Beach, FL 32120-9790

Phone 386-274-7800 · Fax 386-274-7801

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