Individual
ANTONY MANALOOR ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(888) 977-1998
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(888) 977-1998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS15021
FL
208M00000X
Hospitalist Physician
OS15021
FL
Other
Enumeration date
07/11/2011
Last updated
10/28/2019
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