Aurencio Abad, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Marianna, FL
NPI 1093069007 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1093069007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4186 Lafayette St
Marianna, FL 32446-6551 - Phone
- (850) 482-7149
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4186 Lafayette St
Marianna, FL 32446-6551
Mailing address
4186 Lafayette St
Marianna, FL 32446-6551
Other providers in Marianna, FL
- 4294 3Rd Avenue Operations, LLC
- Eden Abad
- Rochelle Petel Abad
- Amber J Adams
- Noah Brent Adams
- Adaptive Pediatric Therapy LLC
All providers in Marianna, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.