Provider Demographics
NPI:1922136845
Name:ABARA, FLORENTINO AGUSTIN JR (AT, C)
Entity Type:Individual
Prefix:MR
First Name:FLORENTINO
Middle Name:AGUSTIN
Last Name:ABARA
Suffix:JR
Gender:M
Credentials:AT, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:95-230 HAALILO PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-6573
Mailing Address - Country:US
Mailing Address - Phone:808-551-5040
Mailing Address - Fax:
Practice Address - Street 1:800 S BERETANIA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5703
Practice Address - Country:US
Practice Address - Phone:808-533-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer