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Individual

DR. ALI K JAFFAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2810 W SAINT ISABEL ST, STE 201, TAMPA, FL 33607-6375
(813) 890-8004
(813) 290-9691
Mailing address
PO BOX 20065, TAMPA, FL 33622-0065
(813) 890-8004
(813) 290-9691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AJ066221
MI
207R00000X
Internal Medicine Physician
Primary
ME128784
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4571296
MI
Enumeration date
05/20/2006
Last updated
12/19/2016
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