Individual
DR. RAN ABRAHAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7421 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2977
(954) 722-9400
(954) 722-9409
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0034854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00266
WELLCARE MEDICARE
FL
05
—
03830070
—
FL
01
—
4077465
AETNA PROVIDER #
FL
01
—
93716
BCBS OF FL
FL
01
—
P0003129
FLORIDA HEALTHCARE PLUS
FL
01
—
P00601890
RAILROAD MEDICARE
FL
01
—
QMP000003940744
MOLINA
FL
Enumeration date
04/04/2006
Last updated
04/06/2017
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