Individual provider · NPI-1

Dr. Oday Abdallah, D.O.

Family Medicine · Lakeland, FL

NPI number1578993754
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1578993754
Entity type
Individual (NPI-1)
Name
Dr. Oday Abdallah
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 25, 2013
Certification date
Sep 22, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOS14131FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019

Phone 863-680-7000 · Fax 866-264-8519

Mailing address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065

Phone 863-680-7000 · Fax 866-264-8519

Other practice locations

327 Beach 19th St
Far Rockaway, NY 11691-4423

Phone 718-869-7000

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