Individual
DR. MOHAMMAD KHALDOUN ABOUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 396-5682
(904) 346-0864
Mailing address
820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL 32207-8209
(904) 396-5682
(904) 346-0864
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME45711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00687475A
—
GA
01
—
02583
BCBS OF FLORIDA
FL
05
—
0447145-00
—
FL
Enumeration date
10/23/2007
Last updated
06/20/2008
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