Provider Demographics
NPI:1649375783
Name:ABDELNUR, SEBASTIAN ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:SEBASTIAN
Middle Name:ANTONIO
Last Name:ABDELNUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-5505
Mailing Address - Fax:305-243-5819
Practice Address - Street 1:1120 NW 14TH ST
Practice Address - Street 2:SUITE 310
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2107
Practice Address - Country:US
Practice Address - Phone:305-243-5505
Practice Address - Fax:305-243-5819
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY240523207PE0004X
FLME113679207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services