Provider Demographics
NPI:1225007875
Name:ABRAMSON, RICHARD P (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:P
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-6212
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:1717 S ORANGE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2944
Practice Address - Country:US
Practice Address - Phone:407-650-7715
Practice Address - Fax:407-567-5924
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010774912088P0231X
FLME1155982088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIG16439OtherHAP
MI9952477008OtherCIGNA
MI132123OtherPRIORITY HEALTH
MI01000142OtherHEALTH PLUS
MI5325092OtherAETNA
FLPENDINGMedicaid
MI340019114OtherRAILROAD MEDICARE
MIG16439Medicare UPIN
FLPENDINGMedicaid
FLPENDINGMedicare PIN
MI5325092OtherAETNA