Individual provider · NPI-1

Tony Lee Abbott

Nurse Practitioner, Family · Gainesville, FL

NPI number1700427333
StatusActive
Last updated in NPPESOct 4, 2019

Details

NPI
1700427333
Entity type
Individual (NPI-1)
Name
Tony Lee Abbott
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 4, 2019
Last updated
Oct 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11004396FLYes

Practice location

1050 Nw 8th Ave Ste 20
Gainesville, FL 32601-4998

Phone 352-379-7900

Mailing address

11215 73rd Ct
Live Oak, FL 32060-7110

Phone 386-365-6242

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