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Individual

SHAHEED MOHAMMED ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1550 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(407) 757-0277
(407) 757-0271
Mailing address
PO BOX 645, GOTHA, FL 34734-0645
(407) 757-0277
(407) 757-0271

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME44380
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME44380
STATE OF FLORIDA DOH DIVISON OF MEDICAL ASSURANCE
FL
Enumeration date
10/22/2019
Last updated
10/22/2019
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