Individual provider · NPI-1

Dr. Mohammed Ali Alawadhi, MD

Internal Medicine · Daytona Beach, FL

NPI number1114366143
StatusActive
Last updated in NPPESJun 19, 2025

Details

NPI
1114366143
Entity type
Individual (NPI-1)
Name
Dr. Mohammed Ali Alawadhi
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 24, 2013
Certification date
Jun 19, 2025
Last updated
Jun 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME170893FLYes
207R00000X Internal Medicinemt203188PA
207R00000X Internal Medicinemd60800332WA

Practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Phone 386-425-2872

Mailing address

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Phone 386-425-4000

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