Individual provider · NPI-1
Dr. Charles Abbott, M.D.
Pathology, Anatomic Pathology & Clinical Pathology · Fort Lauderdale, FL
NPI number1730120049
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1730120049
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Abbott
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2006
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 212898 | MA | Yes |
| 207ZH0000X | Pathology, Hematology | 212898 | MA |
Practice location
936 Intracoastal Dr Apt 9bFort Lauderdale, FL 33304-3632
Phone 413-822-8682
Mailing address
936 Intracoastal Dr Apt 9bFort Lauderdale, FL 33304-3632
Phone 413-822-8682
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