Individual
EDEN ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4186 LAFAYETTE ST, MARIANNA, FL 32446-6551
(850) 482-7149
Mailing address
4186 LAFAYETTE ST, MARIANNA, FL 32446-6551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100761
FL
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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