Fabian, Michael A

Fabian, Michael A is an sole proprietor health care provider with primary practice located at 103 Memorial Medical Pkwy Ste 125 , Daytona Beach FL 32117-5672. He recently has only one registered license in Allopathic & Osteopathic Physicians / 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
103 Memorial Medical Pkwy Ste 125 Daytona Beach FL 32117-5672
Fax: (386) 274-0269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 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 6th, 2026 - about 10 months 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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