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Fatah Wallizada, M.D
NPI 1255351599 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1395 Cassat Ave
Suite# 1
Jacksonville, FL 32205 - Phone
- (904) 388-5832
- Fax
- (904) 388-6270
- Organisation at this address
- Urgentium Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida