Fabian, Michael A

Fabian, Michael A is an sole proprietor health care provider with primary practice located at 1890 Lpga Blvd Ste 250, Daytona Beach FL 32117-7131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Fabian, Michael A can be contacted via phone (386) 274-0250.

Contact Information

Primary practice address
1890 Lpga Blvd Ste 250 Daytona Beach FL 32117-7131
Phone: (386) 274-0250
Fax: (386) 274-0269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME0053577 Florida

Profile Details

NPI number 1134124753
LBN Legal business name Fabian, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jan 7th, 2013 - about 13 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 1134124753 NPPES
Florida Other 004286 FHCP

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