Individual
DR. MOHAMMAD ALI ANSARI LARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 985-5921
(954) 985-3471
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 985-5921
(954) 985-3471
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME93157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272746300
—
FL
Enumeration date
01/04/2006
Last updated
08/20/2025
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