Provider Demographics
NPI:1417271362
Name:HOWARD ABRAHAMS DMD PA
Entity Type:Organization
Organization Name:HOWARD ABRAHAMS DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRSIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-532-4419
Mailing Address - Street 1:960 ARTHUR GODFREY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3326
Mailing Address - Country:US
Mailing Address - Phone:305-532-4419
Mailing Address - Fax:
Practice Address - Street 1:960 ARTHUR GODFREY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3326
Practice Address - Country:US
Practice Address - Phone:305-532-4419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17635261QD0000X
261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty