Organization · NPI-2
Abella Prime LLC
Internal Medicine · Miami, FL
NPI number1831898113
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1831898113
- Entity type
- Organization (NPI-2)
- Legal business name
- Abella Prime LLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2023
- Certification date
- Feb 26, 2023
- Last updated
- Feb 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
8200 Sw 117th Ave Ste 414Miami, FL 33183-4828
Phone 305-221-6161 · Fax 305-559-2259
Mailing address
8200 Sw 117th Ave Ste 414Miami, FL 33183-4828
Phone 305-221-6161 · Fax 305-559-2259
Authorized official
Manuel Expedito Abella
Physician/President
3052216161
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