Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abdallah Mahmoud Altantawi, MD

Individual provider Pediatrics Physician · NPI 1710596861

Abdallah Mahmoud Altantawi, MD is a Pediatrics Physician in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

841 Prudential Dr Ste 1130
Jacksonville, FL 32207-8331
Phone: (904) 633-4199
Fax: (904) 633-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4870 Deer Lake Dr E, Jacksonville, FL 32246-6300 — (732) 372-3677

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME162653 (FL)

Record details

NPI number1710596861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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