Individual
DR. JOHN L. ABT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, FACEP, FACFE
Contact information
Practice address
9604 SOUTHERN PINES COURT, FT LAUDERDALE, FL 33328-6909
(954) 423-6778
Mailing address
9604 SOUTHERN PINES COURT, FT LAUDERDALE, FL 33328-6909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS6300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184693400
NATIONAL PROV IDENTIFIER
FL
05
—
3707024-00
—
FL
01
—
80669
BLUE CROSS/BLUE SHIELD
FL
01
—
CALL PROVIDER
TRICARE
FL
Enumeration date
03/17/2006
Last updated
01/18/2012
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