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ABDALLAH MAHMOUD ALTANTAWI MD
NPI 1710596861
Pediatrics in Jacksonville, FL

Active since July 24, 2020
841 PRUDENTIAL DR STE 1130, JACKSONVILLE, FL 32207(904) 633-4199(904) 633-4188 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 27, 2020, Jul 24, 2020 (2 updates tracked since 2020).

About Abdallah Mahmoud Altantawi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDALLAH MAHMOUD ALTANTAWI MD (NPI 1710596861) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME162653) and active in the NPI registry since July 2020. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1710596861
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameABDALLAH MAHMOUD ALTANTAWICredential: MD
Location Address841 PRUDENTIAL DR STE 1130Jacksonville, FL 32207-8331
Mailing Address4870 Deer Lake Dr E Fl 32246Jacksonville, FL 32246-6300 · (904) 633-4199
Phone(904) 633-4199
Fax(904) 633-4188
Sole ProprietorYes
Enumeration DateJuly 24, 2020
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1710596861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME162653
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
841 PRUDENTIAL DR STE 1130, Jacksonville, FL 32207
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Secondary Practice Location 1

Location 14870 Deer Lake Dr EJacksonville, FL 32246-6300 · Phone (732) 372-3677

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YEKATERINA JONES D.O.
Pediatrics
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 633-4199
ROSSY MARILE GUZMAN RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 633-4199
DR. NOELIA VALENTINA SWYMELER DO/MBA
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 244-3056
ADRIANA PENA-ARIET M.D
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 633-4199
FATIMA MOHAMMED ABBAKER ABDALLAH
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 633-4199
FATIMA YAHAYA ELAWAD ELATAYA MD
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 504-7355
MUNIRA MURTALIBOVA
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 633-4199
JESSICA LEIGH WARRICK-IMRISEK MD
Pediatrics
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207
Duval County (904) 633-4199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdallah Altantawi's NPI number?

The NPI number for Abdallah Altantawi is 1710596861. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Abdallah Altantawi located?

Abdallah Altantawi practices at 841 Prudential Dr Ste 1130, Jacksonville, FL 32207. The listed phone number is (904) 633-4199.

What is Abdallah Altantawi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Abdallah Altantawi accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Abdallah Altantawi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abdallah Altantawi was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.