Individual
MINA Z. AL AWQATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224
(508) 334-1000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036151595
IL
207R00000X
Internal Medicine Physician
263553
MA
207RR0500X
Rheumatology Physician
Primary
036151595
IL
Other
Enumeration date
04/14/2015
Last updated
02/21/2025
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