DENNRIK ABRAHAN (NPI# 1194143115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194143115 |
| Entity Type | Individual |
| Full Name | DENNRIK ABRAHAN |
| Credential | M.D. |
| Practice Address |
17 Davis Blvd Suite 308 Tampa FL 33606-3475 |
| Mailing Address |
1033 Dr Martin Luther King St N Ste 108 St Petersburg FL 33701-1547 |
| Practice Telephone | 8132502506 |
| Mailing Telephone | 7278654290 |
| Mailing Fax Number | 7273461054 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME144449 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
17 DAVIS BLVD SUITE 308 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972575 | Kelsey H O'brien | Pediatrics | 17 Davis Blvd, Tampa, FL 33606 | 2005-09-16 |
| 1902435597 | Jonathan Marks | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-04-06 |
| 1831727684 | Matthew Franklin Gliksman | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-03-28 |
| 1225666241 | Linzi Jiang | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-03-27 |
| 1073147468 | Kyle Peter Michelson | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-02-25 |
| 1447717764 | John Michael Graff | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2019-02-22 |
| 1679050983 | Maher Khalaf | Nurse Practitioner | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-07-20 |
| 1922596857 | Ala Saleh | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606 | 2018-04-26 |
| 1679060032 | Aditya Grover | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-04-20 |
| 1184121345 | Arjun Khadilkar | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982707196 | Sridhara Sastry | Pediatrics | 5003 E Longboat Blvd, Tampa, FL 33615-4229 | 2006-09-06 |
| 1639581655 | Shashikanth Gangu | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2014-05-26 |
| 1447414966 | Shetal Patel-gandhi | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2008-07-14 |
| 1811155278 | Marylouise Kiyana Wilkerson | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2008-06-01 |
| 1811051782 | University Community Hospital Inc | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2006-12-21 |
| 1053491498 | Carmen C. Cosio | Pediatrics | 3100 E Fletcher Ave, Tampa, FL 33613 | 2006-10-17 |
| 1770686974 | Sridhara Sastry Md Pa | Pediatrics | 5003 E Longboat Blvd, Tampa, FL 33615-4229 | 2006-09-06 |
| 1487661484 | University Medical Service Association Inc | Pediatrics | 2 Tampa General Cir, Stc 2nd Floor - Mdc 15, Tampa, FL 33606-3603 | 2006-08-02 |
| 1679596662 | University Medical Service Association Inc | Pediatrics | 2 Tampa General Cir, Stc 2nd Floor - Mdc 15, Tampa, FL 33606-3603 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578853 | Erica Stoller | Pediatrics | 1117 E Hallandale Beach Blvd Ste 1, Hallandale Beach, FL 33009-4488 | 2019-09-24 |
| 1629323001 | Hamza Saeed Elkhidir | Pediatrics | 11252 Sw Kingslake Cir, Port St Lucie, FL 34987-2761 | 2012-07-20 |
| 1629331004 | Natalie Victoria Roebuck Bishop | Pediatrics | 1600 S Andrews Ave Fl Picu7, Fort Lauderdale, FL 33316-2510 | 2012-06-20 |
| 1598061574 | Jennifer Christine Munoz Pareja | Pediatrics | 1611 Nw 12th Ave Fl 6006, Miami, FL 33136-1005 | 2011-02-08 |
| 1720382054 | Ricardo A Queiro | Pediatrics | 1421 Sorolla Ave, Coral Gables, FL 33134-3519 | 2010-12-30 |
| 1245534593 | Carmen E Ocampo Benavides | Pediatrics | 1420 Brickell Bay Dr, Apt #907, Miami, FL 33131-3606 | 2010-12-30 |
| 1114044146 | Chad D Scheller | Pediatrics | 3501 Johnson St Dept Of, Hollywood, FL 33021 | 2007-03-23 |
| 1942370416 | Pediatric Hospital Services of Southwest Florida | Pediatrics | 157 Dockside Cir, Weston, FL 33327-1101 | 2006-11-09 |
| 1861577256 | Mark Swanson | Pediatrics | 92 West Miller Street, Orlando, FL 32806 | 2006-10-26 |
| 1841374295 | Enzo Javier Garcia | Pediatrics | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2006-10-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.