Provider Demographics
NPI:1285119172
Name:ABREU, DAYSI MARIEL (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MS
First Name:DAYSI
Middle Name:MARIEL
Last Name:ABREU
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:9598 US HIGHWAY 301 S
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-5429
Mailing Address - Country:US
Mailing Address - Phone:813-341-3454
Mailing Address - Fax:813-341-3464
Practice Address - Street 1:9598 US HIGHWAY 301 S
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-5429
Practice Address - Country:US
Practice Address - Phone:813-341-3454
Practice Address - Fax:813-341-3464
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2020-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9111608363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant