Provider Demographics
NPI:1932278850
Name:ABRAMSON, GADY (DC)
Entity Type:Individual
Prefix:DR
First Name:GADY
Middle Name:
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 WEEPING WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-4813
Mailing Address - Country:US
Mailing Address - Phone:954-986-4559
Mailing Address - Fax:954-986-4526
Practice Address - Street 1:450 N PARK RD STE 200
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6919
Practice Address - Country:US
Practice Address - Phone:954-986-4559
Practice Address - Fax:954-986-4526
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8312111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH8312OtherLISCENSE NUMBER
FL050558740OtherTAX ID NUMBER