Provider Demographics
NPI:1275689341
Name:ABBO, LILIAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:M
Last Name:ABBO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1120 NW 14TH ST
Mailing Address - Street 2:SUITE 864
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-4598
Mailing Address - Fax:305-243-4037
Practice Address - Street 1:1120 NW 14TH ST
Practice Address - Street 2:SUITE 864
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2107
Practice Address - Country:US
Practice Address - Phone:305-243-4598
Practice Address - Fax:305-243-4037
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2014-02-12
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Provider Licenses
StateLicense IDTaxonomies
FLME92961207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278534000Medicaid
FL95767OtherBLUE CROSS BLUE SHIELD
AE938ZMedicare PIN