Provider Demographics
NPI:1356319362
Name:ABRAMSKY, EVAN J (PA)
Entity Type:Individual
Prefix:
First Name:EVAN
Middle Name:J
Last Name:ABRAMSKY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14610 S MILITARY TRL STE G3
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3801
Mailing Address - Country:US
Mailing Address - Phone:561-819-3100
Mailing Address - Fax:561-819-3119
Practice Address - Street 1:14610 S MILITARY TRL STE G3
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3801
Practice Address - Country:US
Practice Address - Phone:561-819-3100
Practice Address - Fax:561-819-3119
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9100873363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP58654Medicare UPIN
FLE7281ZMedicare ID - Type Unspecified