Provider Demographics
NPI:1518048594
Name:ABDAL, HELEN (OD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:ABDAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10660 FOREST HILL BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3171
Mailing Address - Country:US
Mailing Address - Phone:561-333-3932
Mailing Address - Fax:561-333-1370
Practice Address - Street 1:10660 FOREST HILL BLVD STE 210
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-333-3932
Practice Address - Fax:561-333-1370
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3862152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620952100Medicaid
FL620952100Medicaid