Individual provider · NPI-1

Phillip Al-Dairy

Internal Medicine · Fort Lauderdale, FL

NPI number1508500026
StatusActive
Last updated in NPPESJun 16, 2025

Details

NPI
1508500026
Entity type
Individual (NPI-1)
Name
Phillip Al-Dairy
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 21, 2022
Certification date
Jun 16, 2025
Last updated
Jun 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOS22023FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Phone 954-355-4400

Mailing address

2846 S University Dr Apt 4202
Davie, FL 33328-1449

Phone 248-881-1337

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Fort Lauderdale, FL