Jaclyn Abraham, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tampa, FL
NPI 1124878442 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1124878442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 17 Davis Blvd Ste 308
Tampa, FL 33606-3438 - Phone
- (813) 974-2201
- NPI assigned
- Mar 27, 2024
- 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)
- 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
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Mailing address
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 974-2201
Other providers in Tampa, FL
- Abraham S. Marcadis MD PA
- Hanadi Abraham Zaben
- David Abraham
- Deiona Abraham
- Edith Abraham
- Jacquline Elza Abraham
- James C Abraham
- Jeffrey John Abraham
- Meby S Abraham
- Nicholas Ethan Abraham
All providers in Tampa, 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 Mar 27, 2024. 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.