Individual
ABDULJABBAR AL TEKREETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 COCONUT PALM DR STE 120, TAMPA, FL 33619-8362
(813) 289-6597
(865) 769-3454
Mailing address
3901 COCONUT PALM DR STE 120, TAMPA, FL 33619-8362
(813) 289-6597
(865) 769-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME126405
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043503436
—
FL
Enumeration date
05/18/2011
Last updated
07/21/2022
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