Provider Demographics
NPI:1871650713
Name:HAIRABET, JOHN K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:HAIRABET
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4601 MILITARY TRL
Mailing Address - Street 2:SUITE 205
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4834
Mailing Address - Country:US
Mailing Address - Phone:561-624-9744
Mailing Address - Fax:561-623-0845
Practice Address - Street 1:4601 MILITARY TRL
Practice Address - Street 2:SUITE 205
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4834
Practice Address - Country:US
Practice Address - Phone:561-624-9744
Practice Address - Fax:561-623-0845
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2011-09-12
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Provider Licenses
StateLicense IDTaxonomies
FLME78048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8704Medicare PIN