Provider Demographics
NPI:1295557734
Name:ABATE PELLECCHIA, BARBARA MICHELLE (SA-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:MICHELLE
Last Name:ABATE PELLECCHIA
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14322 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6146
Mailing Address - Country:US
Mailing Address - Phone:754-280-9448
Mailing Address - Fax:
Practice Address - Street 1:14322 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-6146
Practice Address - Country:US
Practice Address - Phone:754-280-9448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-490246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant