Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | OS7195 | FL |
NPI | 1033108030 |
---|---|
Provider Name | Dr. Prosper Abitbol |
First Address | Boca Raton, FL 33486-2346 |
Second Address | Boca Raton, FL 33486-2346 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 05/05/2015 |