Fabelo, Edward M

Fabelo, Edward M is an individual health care provider with primary practice located at 620 10Th Street N. , St. Petersburg FL 33705-1407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fabelo, Edward M can be contacted via phone (727) 824-8274.

Contact Information

Primary practice address
620 10Th Street N. St. Petersburg FL 33705-1407
Phone: (727) 824-8274
Fax: (727) 824-8293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 056053 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME97893 Florida

Profile Details

NPI number 1326263955
LBN Legal business name Fabelo, Edward M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Mar 31st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326263955 NPPES
Florida MEDICAID 278384300

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