Provider Demographics
NPI:1639157951
Name:ABRAMS, BARBARA DEMBY (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:DEMBY
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MD, JD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:LYNN
Other - Last Name:DEMBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3102 W LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-1807
Mailing Address - Country:US
Mailing Address - Phone:850-339-5717
Mailing Address - Fax:
Practice Address - Street 1:THAGARD STUDENT HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32306-2140
Practice Address - Country:US
Practice Address - Phone:850-644-1015
Practice Address - Fax:850-644-8958
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58096208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics