Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME148985 | FL |
NPI | 1942623566 |
---|---|
Provider Name | Dr. Nicholas Brian Abt |
First Address | Miami, FL 33136-1003 |
Second Address | Miami, FL 33136-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2014 |
Last Update Date | 15/05/2021 |