Provider Demographics
NPI:1306162771
Name:ABRAMOVICI, ADI ROSA (MD)
Entity type:Individual
Prefix:
First Name:ADI
Middle Name:ROSA
Last Name:ABRAMOVICI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 NW 4TH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2836
Mailing Address - Country:US
Mailing Address - Phone:954-377-0370
Mailing Address - Fax:954-377-0375
Practice Address - Street 1:4101 NW 4TH ST STE 309
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2836
Practice Address - Country:US
Practice Address - Phone:954-377-0370
Practice Address - Fax:954-377-0375
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10025796207V00000X
TXP6307207VM0101X
AL30149207VM0101X
FLMF124777207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051109774OtherBCBS
AL051109776OtherBCBS
AL051109783OtherBCBS
AL051109784OtherBCBS
AL121308Medicaid
FL022755700Medicaid
AL051109775OtherBCBS
AL051109785OtherBCBS
AL051109787OtherBCBS
AL121233Medicaid
AL051109786OtherBCBS
AL121239Medicaid
AL121279Medicaid
AL121432Medicaid
AL051109778OtherBCBS
AL121228Medicaid
AL121245Medicaid
AL121238Medicaid
AL121243Medicaid
AL121298Medicaid
AL051109779OtherBCBS
AL051109782OtherBCBS
AL121297Medicaid
AL121307Medicaid
MS04855715Medicaid
AL051109780OtherBCBS
AL051109789OtherBCBS
AL121235Medicaid