# DR. ABRAHAM B. AWAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205888542
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2717 | FL | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 01/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 084939100 | — | FL |
| 01 | — | 0970830001 | DME | FL |
| 01 | — | 20472 | BLUE CROSS BLUE SHEILD | FL |