Provider Demographics
NPI:1609059153
Name:FAERBER, ABIGAIL HOBBS (DO)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:HOBBS
Last Name:FAERBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 SIERRA LN
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-5016
Mailing Address - Country:US
Mailing Address - Phone:941-637-6605
Mailing Address - Fax:941-637-6605
Practice Address - Street 1:2411 SIERRA LN
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-5016
Practice Address - Country:US
Practice Address - Phone:941-637-6605
Practice Address - Fax:941-637-6605
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5420207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA16553Medicare UPIN