Individual
DR. FATAH ABDUL WALLIZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1395 CASSAT AVE, SUITE# 1, JACKSONVILLE, FL 32205-9616
(904) 388-5832
(904) 388-6270
Mailing address
1395 CASSAT AVE, SUITE# 1, JACKSONVILLE, FL 32205-9616
(904) 388-5832
(904) 388-6270
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0062087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371234600
—
FL
Enumeration date
07/20/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us