Individual
DENNRIK ABRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2506
Mailing address
1033 DR MARTIN LUTHER KING ST N STE 108, ST PETERSBURG, FL 33701-1547
(727) 865-4290
(727) 346-1054
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME144449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106524700
—
FL
01
—
B44B7
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/07/2014
Last updated
02/23/2022
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