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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033401856 NPPES
Florida MEDICAID 012801500
Florida Other P10366899

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