Individual
RAGIA M ALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 HICKORY ST, MELBOURNE, FL 32901-1973
(321) 434-7676
(321) 952-6179
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-7676
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME166307
FL
207RX0202X
Medical Oncology Physician
Primary
ME166307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122897300
—
FL
01
—
S9472
MEDICARE HF
FL
Enumeration date
06/24/2014
Last updated
07/12/2024
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