Rosemarie P Abad, MD
Individual provider Active NPI Emergency Medicine Physician · Jacksonville, FL
NPI 1124083134 · NPPES record last updated Jul 9, 2010
Key facts
- NPI
- 1124083134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- ME67562 (FL)
- Practice address
- 800 Prudential Dr
Jacksonville, FL 32207-8202 - Phone
- (904) 396-5682
- Fax
- (904) 346-0864
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME67562 | FL | Yes |
Addresses
Primary practice location
800 Prudential Dr
Jacksonville, FL 32207-8202
Mailing address
820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209
Phone (904) 396-5682
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26875 | Other | FL | BCBS |
| 257380600 | Medicaid | FL | |
| 008142729A | Medicaid | GA |
Other providers in Jacksonville, FL
- Patrick Aaronson
- ABA Brightwings LLC
- Abiedu Charles Abaaba
- Vera Utagah Abaaba
- Abednerys Abad Heredia
- Chloe Abadi
- Johanna Abadias Gonzalez
- Renante Abagat
- Ida Mae Demayoga Abajon
- David Abarbanel
All providers in Jacksonville, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2010. 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.