Organization
F M ABANILLA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO MELOCOTON ABANILLA M.D. (OWNER)
(863) 314-0555
Entity
Organization
Contact information
Practice address
3030 US 27 S, AVON PARK, FL 33825-9761
(863) 314-0555
(863) 314-0806
Mailing address
3030 US 27 S, AVON PARK, FL 33825-9761
(863) 314-0555
(863) 314-0806
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0066898
FL
Other
Enumeration date
12/18/2007
Last updated
04/15/2008
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