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Provider Information for 1912939067

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. WARREN RUSSELL ABEL MD

Gender: MALE

Individual NPI: 1912939067

Calendar   Last Updated:  2016-09-07
  Certification Date: 

Details

Name Value
NPI 1912939067
Enumeration Date 2006-07-07
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2639 DR. M.L. KING JR. STREET NORTH
ST PETERSBURG, FL 33704-2733
United States

Phone: 727-822-6661 | Fax: 727-823-1334
View Map External Link
Primary Practice Address 2639 DR. M.L. KING JR. STREET NORTH
ST PETERSBURG, FL 33704-2733
United States

Phone: 727-822-6661 | Fax: 727-823-1334
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 3777634000
Other BLUE CROSS FL 26890
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RC0200X - Internal Medicine Critical Care Medicine FL ME62909
No 207RP1001X - Internal Medicine Pulmonary Disease FL ME62909