NPI 1104799303 · live from the CMS NPI Registry
Salam N Abdo, APRN
Nurse Practitioner, Family in Dade City, FL. National Provider Identifier 1104799303, active.
NPI record
| NPI | 1104799303 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 14027 5th St, Dade City, FL 33525 |
| Practice phone | 352-518-2000 |
| Mailing address | 37912 Church Ave, Dade City, FL 33525 |
| Enumerated | September 25, 2025 |
| Last updated | September 25, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 11041321 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.