F M Abanilla MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME0066898 Issued in FL

Legal business name

F M ABANILLA MD PA

Practice address

3030 US 27 S
Avon Park, FL 33825-9761

Phone

(863) 314-0555

Fax

(863) 314-0806

NPI assigned

Dec 18, 2007

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fernando Melocoton Abanilla, M.D.NPI 1558469338

Title

Owner

Phone

(863) 314-0555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fernando Melocoton Abanilla, MD

  • Nephrology Physician
  • Avon Park, FL
  • NPI 1558469338
  Medicare reassignment NPD Authorized official
• Jennifer Revels, MD

  • Nephrology Physician
  • Avon Park, FL
  • NPI 1609744606

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1245414911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 US 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259761",
            "telephone_number": "863-314-0555",
            "fax_number": "863-314-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 US 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259761",
            "telephone_number": "863-314-0555",
            "fax_number": "863-314-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F M ABANILLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ABANILLA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "MELOCOTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-314-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0066898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deslin Enterprises, Inc.
• Stefan Marc Kristofer Doig, M.D.
• L Francisco Espaillat, M.D.
• Ryan Patrick Esser, LMHC
• Natalie Etienne, ARNP
• Julia Lyn Fashner, MD
• Fi-the Oaks, LLC (The Oaks at Avon)
• Alice Christine Fletcher
• Florida Family Rural Health Care LLC (Avon Medical Center)
• Florida Physicians Medical Group (Donald Geldart MD)

• Clinic/Center in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.