Juan C Abanses
Emergency Physician Pediatric Emergency Physician
3001 W Dr Martin Luther King Jr Blvd Em Dept
Tampa
, Florida 33607-6307
Juan C Abanses
Emergency Physician Pediatric Emergency Physician
3001 W Dr Martin Luther King Jr Blvd Em Dept
Tampa
, Florida 33607-6307
(386) 274-7801
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Juan C Abanses
- Po Box 9790
- Daytona Beach, FL
- Zip : 32120-9790
- Fax : (386) 274-7801
- Phone : (386) 274-7800
Second Address
- Juan C Abanses
- 3001 W Dr Martin Luther King Jr Blvd Em Dept
- Tampa, FL
- Zip : 33607-6307
- Fax : (386) 274-7801
- Phone : (813) 870-4000
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Is Juan C Abanses a sole practitioner?
Is Juan C Abanses accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 00025840 | AL |
| Y | 207PP0204X | Pediatric Emergency Physician | ME114914 | FL |
National Provider Identifier
| NPI | 1699760678 |
|---|---|
| Provider Name | Juan C Abanses |
| First Address | Daytona Beach, FL 32120-9790 |
| Second Address | Tampa, FL 33607-6307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2005 |
| Last Update Date | 07/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 007958000 | (05) | FL |
| 051522698 | (05) | AL |
| 051522698 | BCBS OF ALABAMA (01) | AL |
| 051522729 | BCBS (01) | AL |
| 051554754 | (05) | AL |
| 14P1R | BCBS (01) | FL |
| 200174262 | CHAMPUS (01) | AL |
| 200174262 | TRICARE (01) | AL |
| 75-60010 | UNITED HEALTH CARE (01) | AL |
| 7588591 | AETNA (01) | AL |
| GX151Z | MEDICARE PTAN (01) | FL |
| H49040 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.