MEDICARE: DR. SYED K ABBAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	286161	NY
2	208600000X	Surgery Physician	ME137415	FL
3	390200000X	Student in an Organized Health Care Education/Training Program
4	208600000X	Surgery Physician	55635	CT
5	208600000X	Surgery Physician	39027	NH
6	208600000X	Surgery Physician	MD60714287	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154611929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED K ABBAS M.D.

Provider Business Mailing Address
First Line	:	DEPARTMENT OF SURGERY
Second Line	:	3RD FLOOR, FACULTY CLINIC, 653 WEST 8TH STREET
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209
Country	:	US
Telephone Number	:	904-383-1015
Fax Number	:

Provider Business Practice Location Address
First Line	:	DEPARTMENT OF SURGERY
Second Line	:	653 WEST 8TH STREET
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209
Country	:	US
Telephone Number	:	904-383-1015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	01/21/2026

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