Organization · NPI-2

A Abdalla, INC

Internal Medicine, Nephrology · Jacksonville, FL

NPI number1396283628
StatusActive
Last updated in NPPESDec 23, 2020

Details

NPI
1396283628
Entity type
Organization (NPI-2)
Legal business name
A Abdalla, INC
Organization subpart
No
Enumeration date
Feb 7, 2017
Certification date
Dec 23, 2020
Last updated
Dec 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, NephrologyME128260FLYes

Practice location

7603 Lem Turner Rd
Jacksonville, FL 32208-3252

Phone 904-329-3336 · Fax 904-527-8919

Mailing address

7603 Lem Turner Rd
Jacksonville, FL 32208-3252

Phone 904-329-3336 · Fax 904-527-8919

Authorized official

Melissa Cochran
Credentialing Coordinator
9047372722

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