Pediatrics And Adolescent Medicine

LBN: Abdul Khalil Wallizada,Md
Pediatrics And Adolescent Medicine is an health care organization with primary practice located at 2140 Kingsley Ave Ste.#10, Orange Park FL 32073-5180. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Abdul Khalil Wallizada,Md can be contacted via phone (904) 276-0005, or through Wallizada, Abdul Khalil via phone (904) 276-0005.

Contact Information

Primary practice address
2140 Kingsley Ave Ste.#10 Orange Park FL 32073-5180
Phone: (904) 276-0005
Fax: (904) 276-9202
Website:
Map and Directions
Authorized official contact:
Name: Wallizada, Abdul Khalil Doctor of Medicine (MD)
Phone: (904) 276-0005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME0067026 Florida

Profile Details

NPI number 1053360669
LBN Legal business name Abdul Khalil Wallizada,Md
DBA Doing business as Pediatrics And Adolescent Medicine
Authorized official Wallizada, Abdul Khalil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Jul 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053360669 NPPES
Florida MEDICAID 376381100

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