Provider profile · NPI 1811192388
Abiedu Charles Abaaba, M.D.
Internal Medicine, Infectious Disease · Jacksonville, FL · NPI 1811192388 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Internal Medicine, Infectious Disease
Enumerated
Jun 15, 2007
License(s)
ME99772 (FL), ME99772 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 820 PRUDENTIAL DR STE 515 CREDENTIALING DEPARTMENT | Jacksonville, FL 32207-8207 | 904-396-4886 |
| MAILING | PO BOX 746638 | Atlanta, GA 30374-6638 | 904-202-2092 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.