Provider Demographics
NPI:1285664136
Name:ABRAMOVITZ, SAMUEL (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:ABRAMOVITZ
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 1:9960 CENTRAL PARK BLVD N
Mailing Address - Street 2:SUITE 335
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1759
Mailing Address - Country:US
Mailing Address - Phone:561-417-8788
Mailing Address - Fax:561-417-9949
Practice Address - Street 1:9960 CENTRAL PARK BLVD N
Practice Address - Street 2:SUITE 335
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1759
Practice Address - Country:US
Practice Address - Phone:561-417-8788
Practice Address - Fax:561-417-9949
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83739207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2674181 00Medicaid
FL2674181 00Medicaid
G55583Medicare UPIN