Provider Demographics
NPI:1710132139
Name:ABBASI, AMMAR SALMAN (MD)
Entity type:Individual
Prefix:DR
First Name:AMMAR
Middle Name:SALMAN
Last Name:ABBASI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1620 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2128
Mailing Address - Country:US
Mailing Address - Phone:570-790-8290
Mailing Address - Fax:855-270-7447
Practice Address - Street 1:8470 COOPER CREEK BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:FL
Practice Address - Zip Code:34201-2020
Practice Address - Country:US
Practice Address - Phone:866-961-1744
Practice Address - Fax:855-270-7447
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME169053208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102722474-0001Medicaid