Individual
AZA M ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 W SAMPLE RD, POMPANO BEACH, FL 33064-3547
(954) 320-2889
(954) 785-8998
Mailing address
1608 SE 3RD AVE, THIRD FLOOR CBO/PBS, FORT LAUDERDALE, FL 33316-2564
(954) 847-4273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME116414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009143000
—
FL
01
—
14R3P
FLORIDA BLUE
FL
Enumeration date
02/01/2013
Last updated
09/01/2016
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