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DR. VERA UTAGAH ABAABA M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1033401856

Individual Registrant:
DR. VERA UTAGAH ABAABA M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
820 PRUDENTIAL DR STE 304 CREDENTIALING DEPARTMENT JACKSONVILLE, FL 32207-8205 US
Tel: 904-346-3649  Fax: 904-348-5627

Contact information for business:
PO BOX 45443  SALT LAKE CITY, UT 84145-0443 US
Tel: 904-202-1032  Fax: 904-376-4107

Registration Information:
NPI: 1033401856
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME120882

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MEDICAREP10366899FL01
012801500FL05




HEALTH CARE JOBS FL - Page 1



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