Sabbagh, Radwan
Sabbagh, Radwan is an individual health care provider with primary practice located at 5150-9 Timuquana Rd. , Jacksonville FL 32210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sabbagh, Radwan can be contacted via phone (904) 253-1120.Contact Information
Primary practice address
5150-9 Timuquana Rd.
Jacksonville FL 32210
Phone: (904) 253-1120
Fax: (904) 253-2514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME66355 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | ME6635 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | ME66355 | Florida |
Profile Details
| NPI number | 1568425205 |
|---|---|
| LBN Legal business name | Sabbagh, Radwan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jan 2nd, 2013 - about 12 years 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 | 1568425205 | NPPES |
| Florida | MEDICAID | 2504456-00 | |
| Florida | MEDICAID | 250445600 |
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