Organization Active NPI

A&B Premier Medical Services

  • Medical Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1437599438
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105138 Issued in FL
Legal business name
A&B PREMIER MEDICAL SERVICES
Practice address
10390 Washingtonia Palm Way Apt 4424
Fort Myers, FL 33966-7992
Phone
(239) 244-1091
NPI assigned
Jul 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Authorized official

Name
Mr. Dolan Abu Aouf, PA-C
Title
Manager Member
Phone
(239) 244-1091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X PA9105138 FL Primary

Addresses

Primary practice location

10390 Washingtonia Palm Way Apt 4424
Fort Myers, FL 33966-7992

Mailing address

10390 Washingtonia Palm Way Apt 4424
Fort Myers, FL 33966-7992
Phone (239) 244-1091

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1437599438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 WASHINGTONIA PALM WAY APT 4424",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667992",
            "telephone_number": "239-244-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 WASHINGTONIA PALM WAY APT 4424",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667992",
            "telephone_number": "239-244-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&B PREMIER MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "ABU AOUF",
        "authorized_official_first_name": "DOLAN",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "239-244-1091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.