Provider Demographics
NPI:1417552357
Name:ABDO, GEORGE EFFAT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:EFFAT
Last Name:ABDO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 N M L KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-5413
Mailing Address - Country:US
Mailing Address - Phone:321-444-8242
Mailing Address - Fax:
Practice Address - Street 1:1819 W TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-3356
Practice Address - Country:US
Practice Address - Phone:850-576-0147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist