Provider Demographics
NPI:1205275088
Name:MANUEL E ABELLA MD PA
Entity type:Organization
Organization Name:MANUEL E ABELLA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:ME
Authorized Official - Phone:305-221-6161
Mailing Address - Street 1:8200 SW 117TH AVE
Mailing Address - Street 2:SUITE 414
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3856
Mailing Address - Country:US
Mailing Address - Phone:305-221-6161
Mailing Address - Fax:305-559-2259
Practice Address - Street 1:8200 SW 117TH AVE
Practice Address - Street 2:SUITE 414
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3856
Practice Address - Country:US
Practice Address - Phone:305-221-6161
Practice Address - Fax:305-559-2259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53821207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty