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Individual

FEDA AL ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-3581
(321) 843-5177
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105526
MI
207R00000X
Internal Medicine Physician
52362
SC
207R00000X
Internal Medicine Physician
Primary
ME131866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020595700
FL
01
4301105526
LICENSING AND REGULATORY AFFAIRS
MI
05
523623
SC
Enumeration date
06/12/2014
Last updated
05/05/2023
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