Individual
MAHMOUD ISMAIL ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 HIGHWAY 77 STE C, PANAMA CITY, FL 32405-4498
(850) 818-0250
(850) 818-0450
Mailing address
2810 HIGHWAY 77 STE C, PANAMA CITY, FL 32405-4498
(850) 818-0250
(850) 818-0450
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
19091
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA08875800
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
A12287
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MASTER DEGREE
ZZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME110173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19091
MS MEDICAL BOARD
MS
Enumeration date
12/01/2005
Last updated
05/06/2015
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