Individual
JEFFREY ABETTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 21ST AVE, VERO BEACH, FL 32960-3091
(772) 257-8224
(772) 252-3245
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 252-3245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123431100
—
FL
01
—
DN27806
MEDICAL LICENSE
FL
Enumeration date
07/24/2023
Last updated
01/16/2025
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