Provider Demographics
NPI:1407004625
Name:ABINALES AND ABINALES MD PA
Entity Type:Organization
Organization Name:ABINALES AND ABINALES MD PA
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:ABINALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:727-526-4122
Mailing Address - Street 1:7500 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-5410
Mailing Address - Country:US
Mailing Address - Phone:727-526-4122
Mailing Address - Fax:727-525-1230
Practice Address - Street 1:7500 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST.PETE
Practice Address - State:FL
Practice Address - Zip Code:33702
Practice Address - Country:US
Practice Address - Phone:727-526-4122
Practice Address - Fax:727-525-1230
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABINALES AND ABINALES M.D,P.A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty