Individual
DR. HARRY S. ABRAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3780
(904) 390-3429
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
DR.0072341
CO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME0064411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000555893A
—
GA
05
—
373285100
—
FL
Enumeration date
08/10/2006
Last updated
01/10/2024
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