Aboudan, Mohammad Khaldoun

Aboudan, Mohammad Khaldoun is an individual health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Aboudan, Mohammad Khaldoun can be contacted via phone (904) 396-5682.

Contact Information

Primary practice address
800 Prudential Dr Jacksonville FL 32207-8202
Phone: (904) 396-5682
Fax: (904) 346-0864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME45711 Florida

Profile Details

NPI number 1144419466
LBN Legal business name Aboudan, Mohammad Khaldoun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Jun 20th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144419466 NPPES
Florida MEDICAID 0447145-00
Florida MEDICAID 00687475A
Florida Other 02583

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