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Contact Information

YANINA ABAUNZA-FIALLOS MD PA
17541 N. DALE MABRY HWY.
LUTZ, FL33548
 Phone: 813-964-1800
 Fax: 813-964-1880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for YANINA ABAUNZA-FIALLOS MD PA

NPI Number 1780010512
LBN Legal business name YANINA ABAUNZA-FIALLOS MD PA
Authorized official GOWTHAM PANDIAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2013
Last updated 01/06/2025 - More than a year ago
Identifiers
FL License # ME69011
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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