ABINALES AND ABINALES MD PA
Marriage and Family Therapists at 4 St, Saint Petersburg, FL

License number
Florida ME27211
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: PACITA T ABINALES MD
Title: OWNER PROVIDER
Phone: (727) 526-4122
Address
Address 2
7500 4Th St N, Saint Petersburg, FL 33702
PO Box 20185, Tampa, FL 33622
National Provider ID: 1619012275
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ABINALES AND ABINALES, M.D., PA

Saint Petersburg, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jun 13, 1978
Inactive since:
Oct 19, 2004
Addresses:
7500 4 St N, Saint Petersburg, FL 33702 (Physical)
1522 75 Cir NE, Saint Petersburg, FL 33702
State ID:
575567
Business type:
Florida Profit Corporation
Treasurer, Secretarys:
Benjamin Vpres Abinales (President, Secretary), 7500 4 St N, Saint Petersburg, FL 33702 (Physical),Pacita Abinales (Treasurer, Secretary), 7500 4 St N, Saint Petersburg, FL 33702 (Physical)
Agent:
Benjamin Abinales,1522 75 Cir NE, Saint Petersburg, FL 33702 (Physical)
EIN:
591828746

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