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Contact Information

DEAN M ABTAHI, MD
61 MEMORIAL MEDICAL PKWY STE 2811
PALM COAST, FL32164
 Phone: 386-586-1955
 Fax: 386-586-1959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEAN M ABTAHI · (Male)

NPI # 1720307853
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2010
Last updated 01/22/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME136590
Hospital affiliation(s)
  • FLORIDA HOSPITAL FLAGLER - (Acute Care)
    60 MEMORIAL MEDICAL PKWY
    PALM COAST, FL 32164
  • FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER - (Acute Care)
    301 MEMORIAL MEDICAL PARKWAY
    DAYTONA BEACH, FL 32117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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