Abdul Khalil Wallizada,md

NPI 1053360669 - Pediatrics - 2080A0000X

NPI Details
NPI 1053360669
Enumeration Date 05/09/2006
Last Updated 07/07/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ABDUL KHALIL ABDUL
Position OWNER
Phone (904) 276-0005
Fax (904) 276-9202
Practice Location
2140 KINGSLEY AVE
STE.#10
ORANGE PARK FL, 32073-5180, US
Phone (904) 276-0005
Fax (904) 276-9202
Business Location
2140 KINGSLEY AVE
STE.#10
ORANGE PARK FL, 32073-5180, US
Phone (904) 276-0005
Fax (904) 276-9202
Toxanomy
Taxonomy Code 2080A0000X
License State Florida
License Number ME0067026
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According to our database, Abdul Khalil Wallizada,md NPI is 1053360669, taxonomy code is 2080A0000X and license number is ME0067026, license state is located at Florida. Abdul Khalil Wallizada,md physically located at 2140 Kingsley Ave, Orange Park FL, 32073-5180. NPI Number 1033115704 has the healthcare provider type.

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1053360669 NPI number is provided on an as is basis without warranty of any kind. 1053360669 is maintained by the National Plan & Provider Enumeration System. The contents of Abdul Khalil Wallizada,md are for informational purposes only.