Provider Demographics
NPI:1942800396
Name:CUNNINGHAM, ABIGAIL ELISE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ELISE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ELISE
Other - Last Name:CULBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2815 DIRECTORS ROW STE 700
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5526
Mailing Address - Country:US
Mailing Address - Phone:407-270-6722
Mailing Address - Fax:
Practice Address - Street 1:2815 DIRECTORS ROW STE 700
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5526
Practice Address - Country:US
Practice Address - Phone:407-270-6722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS58408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist