Provider Demographics
NPI:1578055109
Name:APONTE, ABDELIN CADEL
Entity Type:Individual
Prefix:
First Name:ABDELIN
Middle Name:CADEL
Last Name:APONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 POPLAR RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-8634
Mailing Address - Country:US
Mailing Address - Phone:352-480-7440
Mailing Address - Fax:
Practice Address - Street 1:2 POPLAR RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-8634
Practice Address - Country:US
Practice Address - Phone:352-480-7440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22630634Medicaid