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DR. SHUKRI ABDULLAH MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1861444879

Individual Registrant:
DR. SHUKRI  ABDULLAH MD
Gender: M
Sole Proprietor

Location and contact information for practice:
1200 RIVERPLACE BLVD SUITE: 620 JACKSONVILLE, FL 32207-9046 US
Tel: 904-396-6620  Fax: 904-396-6528

Contact information for business:
653 W 23RD STREET PMB 244 PANAMA CITY, FL 32405-3992 US
Tel: 850-215-2337  Fax: --

Registration Information:
NPI: 1861444879
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME108424
N208M00000XAllopathic & Osteopathic Physicians
Hospitalist
CAA96702
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MO2018042049

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ECFMG0-608-847-0CA01
00A967020CA05
MEDICAL LICENSEA96702CA01




HEALTH CARE JOBS FL - Page 1



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