Organization
M. KHAL ABOUDAN, MD
Active
Other names
M. Khal Aboudan MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. KHAL ABOUDAN MD (MD)
(904) 396-5682
Entity
Organization
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
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME45711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00687475A
—
GA
01
—
02583
BCBS OF FL
FL
Enumeration date
01/05/2007
Last updated
03/17/2008
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