Individual provider · NPI-1

Dr. Ismeth Sufi Abbas, M.D.

Internal Medicine · Jacksonville, FL

NPI number1245328020
StatusActive
Last updated in NPPESMay 13, 2025

Details

NPI
1245328020
Entity type
Individual (NPI-1)
Name
Dr. Ismeth Sufi Abbas
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2006
Certification date
May 13, 2025
Last updated
May 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD151148ORYes
207R00000X Internal MedicineME112430FL
208M00000X HospitalistMD151148OR
208M00000X HospitalistME112430FL

Practice location

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205

Phone 904-202-3860 · Fax 904-202-3846

Mailing address

Po Box 746638
Atlanta, GA 30374-6638

Phone 904-202-1032 · Fax 904-376-4107

Other practice locations

9205 Sw Barnes Rd
Portland, OR 97225-6603

Phone 503-216-2906

1000 W Moreno St
Hospitalist Office
Pensacola, FL 32501-2316

Phone 850-469-7406

3043 Ne 28th St
Lincoln City, OR 97367-4518

Phone 541-994-3661

4805 Ne Glisan St
Portland, OR 97213-2933

Phone 503-215-2392

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