Individual
ABDALLAH MAHMOUD ALTANTAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 PRUDENTIAL DR STE 1130, JACKSONVILLE, FL 32207-8331
(904) 633-4199
(904) 633-4188
Mailing address
4870 DEER LAKE DR E FL 32246, JACKSONVILLE, FL 32246-6300
(904) 633-4199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME162653
FL
Other
Enumeration date
07/24/2020
Last updated
07/16/2025
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