Individual
DR. ABDELLATIF H ABDELWAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
4301084809
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
C1-0013597
DE
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME98562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000066600
—
FL
Enumeration date
10/14/2007
Last updated
06/11/2020
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