Provider Demographics
NPI:1619012275
Name:ABINALES AND ABINALES MD PA
Entity Type:Organization
Organization Name:ABINALES AND ABINALES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PACITA
Authorized Official - Middle Name:T
Authorized Official - Last Name:ABINALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-526-4122
Mailing Address - Street 1:PO BOX 20185
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-0185
Mailing Address - Country:US
Mailing Address - Phone:727-526-4122
Mailing Address - Fax:727-525-1230
Practice Address - Street 1:7500 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5410
Practice Address - Country:US
Practice Address - Phone:727-526-4122
Practice Address - Fax:727-525-1230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27211207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB7531OtherRAILROAD MEDICARE
CB7531OtherRAILROAD MEDICARE