Individual
BACHAR ALKHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1563 KINGSLEY AVENUE, SUITE 106, ORANGE PARK, FL 32073
(904) 389-5333
(904) 389-5332
Mailing address
2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG, JACKSONVILLE, FL 32204
(904) 389-5333
(904) 389-5332
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME100758
FL
208M00000X
Hospitalist Physician
ME100758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281309200
—
FL
Enumeration date
07/24/2006
Last updated
10/06/2020
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