Provider Demographics
NPI:1265455182
Name:RICHARD G ABOOD, M.D., P.A.
Entity Type:Organization
Organization Name:RICHARD G ABOOD, M.D., P.A.
Other - Org Name:COLLIER URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:ABOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-593-3232
Mailing Address - Street 1:PO BOX 639321
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-9321
Mailing Address - Country:US
Mailing Address - Phone:781-280-1698
Mailing Address - Fax:781-276-6424
Practice Address - Street 1:1514 IMMOKALEE RD UNIT 114
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1454
Practice Address - Country:US
Practice Address - Phone:239-593-3232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL930117936OtherMEDICARE RAILROAD
FLK7566Medicare PIN
FL930117936OtherMEDICARE RAILROAD