Individual
DR. ABUBAKER AHMED ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY STE 1-800A, PALM COAST, FL 32164-5983
(386) 302-1366
Mailing address
PO BOX 946383, ATLANTA, GA 30394-6383
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301094760
MI
208600000X
Surgery Physician
Primary
ME167068
FL
Other
Enumeration date
06/29/2009
Last updated
08/09/2024
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