Abdul Khalil Wallizada,md
NPI #1053360669 in Orange Park, Florida
Provider Information
- NPI Number
- 1053360669
- Entity Type
- Organization
- Organization Name
- Abdul Khalil Wallizada,md
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- May 9, 2006
- Last Updated
- Jul 7, 2008
Practice Location
- Address
- 2140 KINGSLEY AVE
- Address 2
- STE.#10
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-5180
- Phone
- (904) 276-0005
Authorized Official
- Name
- DR. ABDUL KHALIL WALLIZADA, MD
- Title
- OWNER
- Phone
- (904) 276-0005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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