NPI 1700427333 · live from the CMS NPI Registry
Tony Lee Abbott
Nurse Practitioner, Family in Gainesville, FL. National Provider Identifier 1700427333, active.
NPI record
| NPI | 1700427333 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1050 Nw 8th Ave Ste 20, Gainesville, FL 32601 |
| Practice phone | 352-379-7900 |
| Mailing address | 11215 73rd Ct, Live Oak, FL 32060 |
| Enumerated | October 4, 2019 |
| Last updated | October 4, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 11004396 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.