Michael A Fabian
NORTH FLORIDA SURGEONS PA


Address: 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131
Phone: 3862740250

Michael A Fabian (NPI# 1134124753, PAC ID# 5092776815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1134124753
PAC ID by PECOS 5092776815
Professional Enrollment ID I20041025000392
Full Name Michael A Fabian
Organization Legal Name NORTH FLORIDA SURGEONS PA
Address 1890 Lpga Blvd
Suite 250
Daytona Beach
FL 32117-7131
Phone Number 3862740250
Gender M
Credential MD
Medical School DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 2769381391
Number of Group Practice Members 106
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100017 HALIFAX HEALTH MEDICAL CENTER
100068 FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER

Other Locations

Address Phone Organization
1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 3862740250 NORTH FLORIDA SURGEONS PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 0%

Organization Information

Organization Legal Name NORTH FLORIDA SURGEONS PA
Physicians 112

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John Mitchell Vassallo Ophthalmology North Florida Surgeons Pa 3780 Us Hwy 1 S, St Augustine, FL 32086-7150
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Garrett A Hauptman Otolaryngology North Florida Surgeons Pa 7135 Nw 11th Place, Suite A, Gainesville, FL 32605-3143
Mcgregor N Lott Ophthalmology North Florida Surgeons Pa 224 Ponte Vedra Park Dr, Suite 300, Ponte Vedra Beach, FL 32082-6604
John D Brinkman General Surgery North Florida Surgeons Pa 1658 St Vincents Way, Suite 210, Middleburg, FL 32068-8459
Richard D Curtis Orthopedic Surgery North Florida Surgeons Pa 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324
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Office Location

Street Address 1890 LPGA BLVD
SUITE 250
City DAYTONA BEACH
State FL
Zip 32117-7131

Physicians in the same location

Name Specialty Organization Address
Luther St James Iii Family Medicine Memorial Health Systems Inc 1890 Lpga Blvd, Suite 170, Daytona Beach, FL 32117-7131
Evelyn V Santiago Gonzalez Certified Registered Nurse Anesthetist (crna) Sheridan Healthcorp Inc 1890 Lpga Blvd, Suite 200, Daytona Beach, FL 32117-7138
Joseph Thomas Watson Podiatry Atlantic Podiatry Associates Dpm Pa 1890 Lpga Blvd, Suite 230, Daytona Beach, FL 32117-7131
Patrick Leung General Practice Primecare At Twin Lakes LLC 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7131
James W. Rust Podiatry Atlantic Podiatry Associates Dpm Pa 1890 Lpga Blvd, Suite 230, Daytona Beach, FL 32117-7131
Andrew W Gamenthaler General Surgery North Florida Surgeons Pa 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131
Federico C Vinas Neurosurgery 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131
Daniel Scott Burfield Nurse Practitioner North Florida Surgeons Pa 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131
Charles M Burkett Diagnostic Radiology East Central Florida Outpatient Imaging, LLC 1890 Lpga Blvd, Suite 110, Daytona Beach, FL 32117-7131
Stephen J Cortez Obstetrics/gynecology Schwenker and Stavoy, Md, Pa 1890 Lpga Blvd, Suite 160, Daytona Beach, FL 32117-7138
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Physicians in the same zip code

Name Specialty Organization Address
Erika Faile Family Medicine Florida Health Care Plan Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Richard C Braithwaite Internal Medicine Florida Health Care Plan Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Joseph J Zuckerman Internal Medicine Florida Health Care Plan Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
James T Moore Psychiatry Florida Health Care Plan Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Karen Michelle Berkeley Clinical Social Worker Florida Health Care Plan Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Jared Ritter Psychiatry Florida Health Care Plan Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Willis Blower Clinical Social Worker Florida Health Care Plan Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Wendy A Myers Internal Medicine Florida Health Care Plans Inc 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Mary Jo Arciom Chiropractic 244 9th St, Holly Hill, FL 32117-3535
Gabriel F Rizzo Chiropractic 701 Ridgewood Ave, Unit B, Holly Hill, FL 32117-3619
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Competitor

Search similar physicians

City DAYTONA BEACH
Zip Code 32117
Specialty GENERAL SURGERY
City + Specialty DAYTONA BEACH + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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