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Ali Medical Center INC.

Pediatrics in Palm Bay, FL. Organization (NPI-2).

NPI number1134547482
StatusActive
Last updated in NPPESApr 3, 2014

Details

NPI
1134547482
Entity type
Organization (NPI-2)
Legal business name
Ali Medical Center INC.
Organization subpart
No
Enumeration date
Apr 3, 2014
Last updated
Apr 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics62108FLYes
208600000X Surgery44893FL

Practice location

2105 Palm Bay Rd Ne
Suite # 1
Palm Bay, FL 32905-2937

Phone 321-676-1230

Mailing address

2105 Palm Bay Rd Ne
Suite 1
Palm Bay, FL 32905-2937

Phone 321-676-1230

Authorized official

Sabir Ali
President
3216761230

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