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Provider Information for 1013902006

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. SYED HASAN ABID MD

Gender: MALE

Individual NPI: 1013902006

Calendar   Last Updated:  2020-08-31
  Certification Date:  2020-08-31

Details

Name Value
NPI 1013902006
Enumeration Date 2005-09-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 5000 PARK ST N STE 1017
ST PETERSBURG, FL 33709-2236
United States

Phone: 727-344-6570 | Fax: 727-384-4388
View Map External Link
Primary Practice Address 5000 PARK ST N STE 1017
ST PETERSBURG, FL 33709-2236
United States

Phone: 727-344-6569 | Fax: 727-384-4388
View Map External Link
Secondary Practice Address 6555 CORTEZ RD W
BRADENTON, FL 34210-2608
United States

Phone: 727-344-6569 | Fax: 727-384-4388
View Map External Link

425 S PARSONS AVE STE 101
BRANDON, FL 33511-5290
United States

Phone: 813-278-5062 | Fax: 813-502-6933
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603 7TH ST S STE 560
ST PETERSBURG, FL 33701-4732
United States

Phone: 727-820-7714 | Fax: 727-202-6455
View Map External Link

6555 CORTEZ RD W
BRADENTON, FL 34210-2608
United States

Phone: 727-344-6569 | Fax: 727-384-4388
View Map External Link

3501 CORTEZ RD W
BRADENTON, FL 34210-3196
United States

Phone: 727-344-6569 | Fax: 727-384-4388
View Map External Link

425 S PARSONS AVE STE 101
BRANDON, FL 33511-5290
United States

Phone: 813-278-5062 | Fax: 813-502-6933
View Map External Link

1258 W BAY DR STE G
LARGO, FL 33770-2245
United States

Phone: 727-344-6569 | Fax: 727-384-4388
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4114 WOODLANDS PKWY STE 301
PALM HARBOR, FL 34685-3450
United States

Phone: 727-344-6569 | Fax: 727-384-4388
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3000 US HIGHWAY 19
HOLIDAY, FL 34691-2635
United States

Phone: 727-344-6569 | Fax: 727-384-4388
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401 VONDERBURG DR
BRANDON, FL 33511-5963
United States

Phone: 813-684-4339 | Fax: 727-384-4388
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603 7TH ST S STE 560
ST PETERSBURG, FL 33701-4732
United States

Phone: 727-820-7714 | Fax: 727-202-6455
View Map External Link

3611 LITTLE RD
TRINITY, FL 34655-1813
United States

Phone: 727-312-4300 | Fax: 727-312-4335
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other MEDICARE FL KX111
Other BCBS FL FL 35009
MEDICAID MO 205364102
MEDICAID FL 018046000
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RH0003X - Internal Medicine Hematology & Oncology FL ME93983
No 174400000X - Specialist FL ME93983