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1710596861
ABDALLAH MAHMOUD ALTANTAWI
JACKSONVILLE, FL
NPI
1710596861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: FL 31948)
Enumeration Date
2020-07-24
Last Update Date
2020-07-27
Business Address
ABDALLAH MAHMOUD ALTANTAWI MD
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207-8331
Phone number: 904-633-4199
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Mailing Address
ABDALLAH MAHMOUD ALTANTAWI MD
4870 DEER LAKE DR E FL 32246
JACKSONVILLE, FL 32246-6300
Phone number: 904-633-4199
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