DR. NOUR MAHMOUD ABDELGHANI


Address: 524 Skymarks Dr Unit 5, Jacksonville, FL 32218-7254
Phone: 9043763800

DR. NOUR MAHMOUD ABDELGHANI (NPI# 1336510452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336510452
Entity Type Individual
Full Name DR. NOUR MAHMOUD ABDELGHANI
Credential PSYD
Practice Address 524 Skymarks Dr Unit 5
Jacksonville
FL 32218-7254
Mailing Address Po Box 44230
Jacksonville
FL 32231-4230
Practice Telephone 9043763800
Practice Fax Number 9043968966
Mailing Telephone 9043763800
Mailing Fax Number 9043763998
Enumeration Date 2015-10-15
Last Update Date 2020-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY10713 FL Behavioral Health & Social Service Providers

Office Location

Street Address 524 SKYMARKS DR UNIT 5
City JACKSONVILLE
State FL
Zip Code 32218-7254

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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