Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME141056 | FL |
N | 207RI0011X | Interventional Cardiology | 57728 | MN |
N | 207RI0011X | Interventional Cardiology | ME141056 | FL |
NPI | 1093003766 |
---|---|
Provider Name | Abdallah El Sabbagh |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2011 |
Last Update Date | 28/08/2020 |