Provider Demographics
NPI:1477609766
Name:FLORIDA FAMILY MEDICINE LLC
Entity Type:Organization
Organization Name:FLORIDA FAMILY MEDICINE LLC
Other - Org Name:ABINALES AND ABINALES MDPA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:AMBROSE
Authorized Official - Last Name:ABINALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-526-4122
Mailing Address - Street 1:7500 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-5410
Mailing Address - Country:US
Mailing Address - Phone:727-526-4122
Mailing Address - Fax:
Practice Address - Street 1:7500 4TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5410
Practice Address - Country:US
Practice Address - Phone:727-526-4122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27211207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty