EDMUND ABATE III (NPI# 1205820206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205820206 |
Entity Type | Individual |
Full Name | EDMUND ABATE III |
Credential | PA-C |
Practice Address |
410 Celebration Pl Ste 200 Celebration FL 34747-5432 |
Practice Telephone | 4073034673 |
Practice Fax Number | 4073034674 |
Mailing Telephone | 4073034673 |
Mailing Fax Number | 4073034674 |
Enumeration Date | 2005-09-06 |
Last Update Date | 2020-08-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA9101934 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101934 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE PTAN - GRP QSS SCS | HF826A | 01 |
FL | MEDICARE PTAN - QSS SCS | U2338Y | 01 |
Street Address |
410 CELEBRATION PL STE 200 |
City | CELEBRATION |
State | FL |
Zip Code | 34747-5432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720631567 | Neley Morales | Physician Assistant | 410 Celebration Pl Ste 200, Celebration, FL 34747-5432 | 2019-07-22 |
1710204094 | Travis Phillip Rogers | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl Ste 200, Celebration, FL 34747-5432 | 2010-04-27 |
1629048764 | Hilaree F Kasper | Physician Assistant | 410 Celebration Pl Ste 200, Celebration, FL 34747-5432 | 2006-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
Find all providers in zip 34747 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457346959 | Kevin M Boerner | Physician Assistant | 410 Celebration Place, Suite 200, Celebration, FL 34747-5432 | 2005-09-12 |
1720631567 | Neley Morales | Physician Assistant | 410 Celebration Pl Ste 200, Celebration, FL 34747-5432 | 2019-07-22 |
1922582147 | Vanessa Yvette Hernandez | Physician Assistant | 410 Celebration Pl Ste 305, Celebration, FL 34747-5436 | 2018-09-24 |
1831601517 | Aaliya Ali | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2017-11-02 |
1821532714 | Erin M Donohoe | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2016-12-12 |
1851759237 | Stefoni Stratton | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2016-02-01 |
1437528957 | Marc Bryan Carmody | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2015-09-15 |
1851627178 | Crystal Young Miranda | Physician Assistant | 400 Celebration Pl, Celebration, FL 34747-4970 | 2009-10-21 |
1699737783 | Bobby John Ardila | Physician Assistant | 410 Celebration Pl, Suite 200, Celebration, FL 34747-5433 | 2006-04-04 |
1265407217 | Robyn M. Gardner | Physician Assistant | 400 Celebration Pl, Suite A140, Celebration, FL 34747-4970 | 2006-02-22 |
Find all providers in CELEBRATION |
City | CELEBRATION |
Zip Code | 34747 |
Please comment or provide details below to improve the information on EDMUND ABATE III.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.