NPI 1619438355 · live from the CMS NPI Registry
Kerolos Abadeer, DO
Emergency Medicine in Orange Park, FL. National Provider Identifier 1619438355, active.
NPI record
| NPI | 1619438355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 2001 Kingsley Ave, Orange Park, FL 32073 |
| Practice phone | 904-622-9200 |
| Enumerated | March 26, 2019 |
| Last updated | September 22, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | 312146 (NY) |
| Emergency Medicine | 207P00000X | 06467 (KY) |
| Emergency Medicine | 207P00000X | TP344 (KY) |
| Family Medicine | 207Q00000X | OS19251 (FL) |
| Emergency Medicine primary | 207P00000X | OS19251 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.