Provider Information for 1518562560
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KEONIA ABRAMS
Sex: Female
NPI: 1518562560
Last Updated: 2024-07-30
Certification Date: 2024-07-30
Certification Date: 2024-07-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518562560 | ||||||||
| Enumeration Date | 2020-11-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 820 PUTNAM DR TALLAHASSEE, FL 32301-6671 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1345 CROSS CREEK CIR TALLAHASSEE, FL 32301-3729 United States Phone: 954-515-9077 | Fax: | ||||||||
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