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ELIZABETH ABRAHAM MD

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1962400192

Individual Registrant:
 ELIZABETH  ABRAHAM MD
Gender: F

Location and contact information for practice:
306 AVENUE C NE  WINTER HAVEN, FL 33881-4558 US
Tel: 863-293-1071  Fax: 863-295-9383

Contact information for business:
306 AVENUE C NE  WINTER HAVEN, FL 33881-4558 US
Tel: 863-293-1071  Fax: 863-295-9383

Registration Information:
NPI: 1962400192
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
FLME0042066

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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