Pacita Tiongson Abinales, M.D.

Individual provider Active NPI General Practice Physician · Saint Petersburg, FL

NPI 1528124757 · NPPES record last updated Jul 30, 2008

Key facts

NPI
1528124757
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
ME0027211 (FL)
Practice address
7500 4TH St N
Saint Petersburg, FL 33702-5410
Phone
(727) 526-4122
Fax
(727) 525-1230
NPI assigned
Dec 30, 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

State licenses

LicenseStateTypeSpecialty
ME0027211FLMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0027211 FL Yes

Addresses

Primary practice location

7500 4TH St N
Saint Petersburg, FL 33702-5410

Mailing address

7500 4TH St N
Saint Petersburg, FL 33702-5410
Phone (727) 526-4122

Other identifiers

IdentifierTypeStateIssuer
059064900MedicaidFL
081175OtherAVMED
208715OtherAMERIGROUP
52971OtherFLBLUE C ROSS BLUE SHIELD
020013776OtherRAILROAD MEDICARE
02682OtherFLPIN COUNTY SOCIAL SERVICE
02682OtherFLHEALTHEASE

Other providers in Saint Petersburg, FL

All providers in Saint Petersburg, FL · General Practice Physician in Florida

Sources for this page

Verify at the official NPI Registry.