Abaaba, Vera Utagah
Abaaba, Vera Utagah is an individual health care provider with primary practice located at 820 Prudential Dr Ste 304 Credentialing Department, Jacksonville FL 32207-8205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Abaaba, Vera Utagah can be contacted via phone (904) 202-3860.Contact Information
Primary practice address
820 Prudential Dr Ste 304 Credentialing Department
Jacksonville FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME120882 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME120882 | Florida |
Profile Details
| NPI number | 1033401856 |
|---|---|
| LBN Legal business name | Abaaba, Vera Utagah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | Jul 1st, 2024 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033401856 | NPPES |
| Florida | MEDICAID | 012801500 | |
| Florida | Other | P10366899 |
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