Individual
DR. ANCY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD, SUITE 105, PORT ST LUCIE, FL 34986-3443
(772) 336-2818
Mailing address
4620 N STATE ROAD 7, SUITE 316, LAUDERDALE LAKES, FL 33319-5884
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME109159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003338600
—
FL
Enumeration date
06/13/2007
Last updated
09/03/2013
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