NPI

Jerome Abutal Abellana

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
RPT
Type
Individual
Enumeration date
2007-07-18
Last updated
2022-05-26

Specialties

Licenses

License FL
PT22006

Location

Practice location
8000 Sr 64 E
City
Bradenton FL
Postal code
34212
Phone
(941) 792-1404

Medicare

PECOS
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LEIE

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