Individual
DR. MUTAZ SHURAHABEEL AHMED OMBADA
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
(304) 384-8239
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(304) 384-8239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31171
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31171
WV
2084A2900X
Neurocritical Care Physician
Primary
ME159445
FL
Other
Enumeration date
06/01/2016
Last updated
12/17/2025
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