Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | ME 70677 | FL |
NPI | 1023013497 |
---|---|
Provider Name | Dr. Yousif Abubakr |
First Address | Jacksonville, FL 32256 |
Second Address | Jacksonville, FL 32207-5982 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 26/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
225308 | AVMED (01) | FL |
240358333A | (05) | GA |
250050700 | (05) | FL |
31932 | BCBS (01) | FL |
5633148 | AETNA (01) | FL |
G13665 | (02) | FL |