Individual
ATIF ABUBAKER ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7603 LEM TURNER RD, JACKSONVILLE, FL 32208-3252
(904) 329-3336
(904) 517-8919
Mailing address
PO BOX 550789, JACKSONVILLE, FL 32255-0789
(904) 329-3336
(904) 517-8919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301080503
MI
207RN0300X
Nephrology Physician
Primary
ME128260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103880100
—
FL
Enumeration date
05/23/2006
Last updated
03/11/2024
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