Organization
A ABDALLA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA COCHRAN (CREDENTIALING COORDINATOR)
(904) 737-2722
Entity
Organization
Contact information
Practice address
7603 LEM TURNER RD, JACKSONVILLE, FL 32208-3252
(904) 329-3336
(904) 527-8919
Mailing address
7603 LEM TURNER RD, JACKSONVILLE, FL 32208-3252
(904) 329-3336
(904) 527-8919
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME128260
FL
Other
Enumeration date
02/07/2017
Last updated
12/23/2020
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