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

Mark Atallah

Individual provider Internal Medicine Physician · NPI 1063354272

Mark Atallah is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence TRN45658 (FL)

Record details

NPI number1063354272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

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