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Individual

DR. ABRAHA TADDESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7928 EAST DR STE 2002, NORTH BAY VILLAGE, FL 33141-5685
(305) 742-1235
Mailing address
7928 EAST DR STE 2002, NORTH BAY VILLAGE, FL 33141-5685
(305) 742-1235

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D84319
MD
2085R0202X
Diagnostic Radiology Physician
R3603
TX
2085R0202X
Diagnostic Radiology Physician
Primary
TRN8495
FL

Other

Enumeration date
05/29/2009
Last updated
05/01/2018
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