Provider Demographics
NPI:1265428932
Name:POPE, AKILAH JAMILA (MD)
Entity type:Individual
Prefix:DR
First Name:AKILAH
Middle Name:JAMILA
Last Name:POPE
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:AKILAH
Other - Middle Name:J
Other - Last Name:POPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:921 NORTH DAVIS ST
Mailing Address - Street 2:BUILDING A, SUITE 251
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209
Mailing Address - Country:US
Mailing Address - Phone:904-253-1639
Mailing Address - Fax:
Practice Address - Street 1:515 W 6TH ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-4324
Practice Address - Country:US
Practice Address - Phone:904-253-1639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA026207208000000X
FLME98815208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278429700OtherMEDICAID
LA032677OtherCDS