Individual
MOHAMED A KHARFAN DABAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO ROAD, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME94112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273564400
—
FL
01
—
29270
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/16/2006
Last updated
08/31/2020
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