Individual
MR. RADWAN SABBAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5150-9 TIMUQUANA RD., JACKSONVILLE, FL 32210
(904) 253-1120
(904) 253-2514
Mailing address
900 UNIVERSITY BLVD. NORTH, MC 75, JACKSONVILLE, FL 32211
(904) 253-2062
(904) 253-1942
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME66355
FL
2080P0207X
Pediatric Hematology & Oncology Physician
ME6635
FL
2080P0207X
Pediatric Hematology & Oncology Physician
ME66355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504456-00
—
FL
05
—
250445600
—
FL
Enumeration date
04/11/2006
Last updated
01/02/2013
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