Glenn Meyer Abrahmsohn, D.D.S.
Individual provider Active NPI Dentist · Key Biscayne, FL
NPI 1922315399 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1922315399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN9146 (FL)
- Practice address
- 260 Crandon Blvd.
Suite 31
Key Biscayne, FL 33149 - Phone
- (305) 361-0778
- Fax
- (305) 365-0951
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160606001793 | FL | Order and Referring Only - Other (Physician) |
2466742374 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN9146 | FL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN9146 | FL | Yes |
Addresses
Primary practice location
260 Crandon Blvd.
Suite 31
Key Biscayne, FL 33149
Mailing address
260 Crandon Blvd.
Suite 31
Key Biscayne, FL 33149
Phone (305) 361-0778
Other providers in Key Biscayne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.