ABDUL KHALIL WALLIZADA,MD
Organization (NPI-2)
Active
Pediatrics, Adolescent Medicine
Provider Information
- NPI Number
1053360669- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2140 KINGSLEY AVE STE.#10, ORANGE PARK, FL, 320735180
- Phone
- (904) 276-0005
- Fax
- (904) 276-9202
Specialties & Taxonomies
Pediatrics, Adolescent Medicine
Primary License: FL #ME0067026