| Ali Harake Md Pa | |
|
1960 Ne 47th St Suite 100 Ft Lauderdale FL 33308-7708 | |
| (954) 938-9949 | |
| (954) 938-9956 |
| Full Name | Ali Harake Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1960 Ne 47th St, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Ali A Harake (OWNER) |
| Authorized Official Contact | 9549389949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Harake Md Pa 1960 Ne 47th St Suite 100 Ft Lauderdale FL 33308-7708 Ph: (954) 938-9949 | Ali Harake Md Pa 1960 Ne 47th St Suite 100 Ft Lauderdale FL 33308-7708 Ph: (954) 938-9949 |
| NPI Number | 1497955116 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 07/20/2007 |
| Medicare PECOS PAC ID | 1658472360 |
|---|---|
| Medicare Enrollment ID | O20070725000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497955116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0069018 (Florida) | Primary |
| Provider Name | Ali A Harake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154341535 PECOS PAC ID: 0840391553 Enrollment ID: I20070725000416 |
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