FATAH ABDUL WALLIZADA

JACKSONVILLE, FL
NPI1255351599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME0062087)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Dr. FATAH ABDUL WALLIZADA M.D.
1395 CASSAT AVE SUITE# 1
JACKSONVILLE, FL 32205-9616
Phone number: 904-388-5832
Mailing Address
Dr. FATAH ABDUL WALLIZADA M.D.
1395 CASSAT AVE SUITE# 1
JACKSONVILLE, FL 32205-9616
Phone number: 904-388-5832
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