Individual
DR. EDWARD M FABELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 10TH STREET N., ST. PETERSBURG, FL 33705-1407
(727) 824-8274
(727) 824-8293
Mailing address
PO BOX 12868, ST. PETERSBURG, FL 33733-2868
(727) 532-1355
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
056053
GA
207RN0300X
Nephrology Physician
Primary
ME97893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278384300
—
FL
Enumeration date
04/17/2007
Last updated
03/31/2014
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