Organization · NPI-2

Ali Harake MD PA

Internal Medicine · Ft Lauderdale, FL

NPI number1497955116
StatusActive
Last updated in NPPESJul 20, 2007

Details

NPI
1497955116
Entity type
Organization (NPI-2)
Legal business name
Ali Harake MD PA
Organization subpart
No
Enumeration date
Jul 20, 2007
Last updated
Jul 20, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME0069018FLYes

Practice location

1960 Ne 47th St
Suite 100
Ft Lauderdale, FL 33308-7708

Phone 954-938-9949 · Fax 954-938-9956

Mailing address

1960 Ne 47th St
Suite 100
Ft Lauderdale, FL 33308-7708

Phone 954-938-9949 · Fax 954-938-9956

Authorized official

Ali A Harake
Owner
9549389949

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