ABDALLAH M. ALTANTAWI MD – NPI #1710596861
Pediatrics

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.

ABDALLAH ALTANTAWI is a physician located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1710596861 to ABDALLAH ALTANTAWI on July 24, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Jul 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABDALLAH ALTANTAWI below.

NPI Profile for
ABDALLAH M. ALTANTAWI

NPI Number
1710596861
Enumeration Date

(about 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ABDALLAH M. ALTANTAWI
Credentials
MD
Primary location
841 PRUDENTIAL DR STE 1130
JACKSONVILLE, FL 32207-8331
Phone: (904) 633-4199 Fax: (904) 633-4188
1 Other location(s):
4870 Deer Lake Dr E
Jacksonville, FL 32246-6300
Phone: (732) 372-3677
Mailing address
4870 DEER LAKE DR E FL 32246
JACKSONVILLE, FL 32246-6300
Phone: (904) 633-4199 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jul 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL ME162653

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.