Individual
ALI ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3821 MARYWEATHER LN STE 101, WESLEY CHAPEL, FL 33544-7793
(813) 367-1585
(813) 367-1586
Mailing address
3001 EXECUTIVE DR STE 130, CLEARWATER, FL 33762-5323
(727) 347-0005
(727) 541-6558
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME130047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106558500
—
FL
01
—
KCE42
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/03/2013
Last updated
09/24/2024
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