Organization
WINTER HAVEN FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME ABUAN M.D. (PRESIDENT)
(863) 229-7486
Entity
Organization
Contact information
Practice address
1130 1ST ST S, WINTER HAVEN, FL 33880-3903
(863) 229-7486
(863) 280-6614
Mailing address
1130 1ST ST S, WINTER HAVEN, FL 33880-3903
(863) 229-7486
(863) 280-6614
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME90989
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270542700
—
FL
Enumeration date
02/10/2016
Last updated
09/27/2016
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