| Syed W Ali MD PA | |
|
1680 Osceola Elementary Rd Ste A St Augustine FL 32084-5942 | |
| (904) 824-7476 | |
| (904) 824-7078 |
| Full Name | Syed W Ali MD PA |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1680 Osceola Elementary Rd Ste A, St Augustine, Florida |
| Authorized Official Name and Position | Syed Wasim Ali (PRESIDENT) |
| Authorized Official Contact | 9048245386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed W Ali MD PA 2465 Us Highway 1 S Ste No19 St Augustine FL 32086-6076 Ph: (904) 824-7476 | Syed W Ali MD PA 1680 Osceola Elementary Rd Ste A St Augustine FL 32084-5942 Ph: (904) 824-7476 |
| NPI Number | 1962719187 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962719187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (NU) | Primary |
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