Basic Information
| Provider Information | |||||||||
| NPI: | 1922493600 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABNEY | ||||||||
| FirstName: | ANCIL | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 PENNSYLVANIA ST | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328062937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3218433220 | ||||||||
| FaxNumber: | 3218433210 | ||||||||
| Practice Location | |||||||||
| Address1: | 51 PENNSYLVANIA ST | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328062937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3218433220 | ||||||||
| FaxNumber: | 3218433210 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2015 | ||||||||
| LastUpdateDate: | 01/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 63442 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | ME143237 | FL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.