Provider Demographics
NPI:1649229568
Name:ABAD, ZOILO RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:ZOILO
Middle Name:RAFAEL
Last Name:ABAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4236
Mailing Address - Country:US
Mailing Address - Phone:305-859-7719
Mailing Address - Fax:305-859-7839
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-859-7719
Practice Address - Fax:305-859-7839
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME82104207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269602900Medicaid
FL269602900Medicaid
FLU3598Medicare PIN
FLH31360Medicare UPIN