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Individual

DR. BENJAMIN JOHN ABINALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7500 4TH ST N, ST PETERSBURG, FL 33702-5410
(727) 526-4122
Mailing address
1522 75TH CIR NE, ST PETERSBURG, FL 33702-4614
(727) 526-4122

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 106734
FL
390200000X
Student in an Organized Health Care Education/Training Program
125052231
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148EZ
BCBS OF FLORIDA
FL
Enumeration date
07/01/2009
Last updated
08/27/2010
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