Provider Demographics
NPI:1881677680
Name:ABAE, MICK (MD)
Entity Type:Individual
Prefix:DR
First Name:MICK
Middle Name:
Last Name:ABAE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:201 N PINE ISLAND RD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1840
Mailing Address - Country:US
Mailing Address - Phone:954-584-2273
Mailing Address - Fax:954-587-9630
Practice Address - Street 1:201 N PINE ISLAND RD
Practice Address - Street 2:SUITE# I
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1840
Practice Address - Country:US
Practice Address - Phone:954-584-2273
Practice Address - Fax:954-587-9630
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2019-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME60217207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC65749Medicare UPIN