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Dr. Abdallah Mohamed Jeroudi, MD

Ophthalmology Physician in Jacksonville, FL · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730479650

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Registry record

Entity type Individual (Type 1)
Name Dr. Abdallah Mohamed Jeroudi
Credential MD
Sex Male
Practice address 2639 Oak St, Jacksonville, FL, 32204
Fax (904) 388-0114
Enumeration date Apr 12, 2011
Last updated in NPPES Apr 20, 2023

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 77496 (GA) Secondary
207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians · License 77496 (GA) Secondary
207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians · License ME130764 (FL) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License ME130764 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
003188625 Medicaid GA -
019742700 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Abdallah Jeroudi?
Abdallah Jeroudi is registered in NPPES with the primary taxonomy of Ophthalmology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-20.