Organization
CENTRAL FLORIDA INPATIENT MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ABBOTT (CEO)
(407) 647-2346
Entity
Organization
Contact information
Practice address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
(407) 647-5431
Mailing address
PO BOX 102224, ATLANTA, GA 30368-7746
(407) 647-2346
(407) 647-5431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117229400
—
FL
01
—
2289953
CIGNA
FL
01
—
2571358
AETNA HMO
FL
01
—
38407
BCBS
FL
01
—
56966
FHHS
FL
01
—
7014260
AETNA PPO
FL
01
—
8900052
UHC
FL
01
—
DA4377
RR MEDICARE
FL
Enumeration date
05/04/2006
Last updated
07/18/2024
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