ABDALLAH MAHMOUD ALTANTAWI

JACKSONVILLE, FL
NPI1710596861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: FL  31948)
Enumeration Date2020-07-24
Last Update Date2020-07-27
Business Address
ABDALLAH MAHMOUD ALTANTAWI MD
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207-8331
Phone number: 904-633-4199
Mailing Address
ABDALLAH MAHMOUD ALTANTAWI MD
4870 DEER LAKE DR E FL 32246
JACKSONVILLE, FL 32246-6300
Phone number: 904-633-4199