Individual
AL-WALA AWAD
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
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
10158405-1205
UT
207T00000X
Neurological Surgery Physician
Primary
ME157349
FL
Other
Enumeration date
04/04/2015
Last updated
07/12/2022
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