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Contact Information

MOHAMMAD K ABOUDAN, MD
800 PRUDENTIAL DR
JACKSONVILLE, FL32207-8202
 Phone: 904-396-5682
 Fax: 904-346-0864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MOHAMMAD K ABOUDAN · (Male)

NPI # 1144419466
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2007
Last updated 06/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME45711
  • FL Medicaid 0447145-00
  • GA Medicaid 00687475A
  • FL Other 02583 BCBS OF FLORIDA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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