Provider Demographics
NPI:1407806060
Name:CHAMELY, ABRAHAM (MD)
Entity Type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:
Last Name:CHAMELY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6245 N FEDERAL HWY
Mailing Address - Street 2:STE 300
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1998
Mailing Address - Country:US
Mailing Address - Phone:954-956-1966
Mailing Address - Fax:954-745-0501
Practice Address - Street 1:7225 N UNIVERSITY DR
Practice Address - Street 2:STE 102
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2908
Practice Address - Country:US
Practice Address - Phone:954-718-9777
Practice Address - Fax:954-718-0233
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2015-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME588442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057115600Medicaid
FL11683Medicare UPIN
FLE69799Medicare UPIN