NPI 1265411755 · live from the CMS NPI Registry
Jaime D Abuan, MD
Family Medicine in Lakeland, FL. National Provider Identifier 1265411755, active.
NPI record
| NPI | 1265411755 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2815 Lakeland Hills Blvd, Lakeland, FL 33805 |
| Practice phone | 863-284-5000 |
| Mailing address | 1324 Lakeland Hills Blvd., Attn: Managed Care Dept., Lakeland, FL 33805 |
| Enumerated | January 12, 2006 |
| Last updated | July 20, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | ME90989 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.