Individual ProviderAmir AnabtawiHospitalistAllopathic & Osteopathic PhysiciansPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205(904) 202-3860(904) 202-2092PECOS EnrollmentBased on the most recent information from CMS, provider Amir Anabtawi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1689105116Provider TypeIndividualFull NameAnabtawi, AmirCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date3/26/2017Last Updated5/28/2025Contact InformationPractice LocationPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205Phone(904) 202-3860Fax(904) 202-3846Mailing LocationMailing AddressPO Box 746638, Atlanta, GA 30374-6638Phone(904) 202-2092Fax(904) 376-4075Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseME172913FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD196905OregonCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME172913Florida