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MR. AWAD HAROON ABASS PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1295110765
Individual Registrant:MR. AWAD HAROON ABASS PA-C
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
89 W COPELAND DR ORLANDO, FL 32806-2002 US
Tel: 321-841-7550 Fax: 321-841-8185
Tel: 321-841-7550 Fax: 321-841-8185
Contact information for business:
89 W COPELAND DR ORLANDO, FL 32806-2002 US
Tel: 321-841-7550 Fax: 321-841-8185
Tel: 321-841-7550 Fax: 321-841-8185
Registration Information:
NPI: 1295110765
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9108814 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 015379400 | FL | 05 | |
| MEDICAL LICENSE | PA9108814 | FL | 01 |
