Individual
ALI ABBAS HARAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 E COMMERCIAL BLVD STE 205, FORT LAUDERDALE, FL 33308-3754
(954) 938-9949
(954) 938-9956
Mailing address
2021 E COMMERCIAL BLVD STE 205, FORT LAUDERDALE, FL 33308-3754
(954) 938-9949
(954) 938-9956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256456400
—
FL
01
—
27667
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
07/20/2006
Last updated
07/21/2023
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