Individual
DR. RAZA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5308 S JOHN YOUNG PKWY, SUITE #200, ORLANDO, FL 32839-7362
(407) 240-9766
(407) 240-9508
Mailing address
5308 S JOHN YOUNG PKWY, SUITE #200, ORLANDO, FL 32839-7362
(407) 240-9766
(407) 240-9508
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME 0062109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374787502
—
FL
Enumeration date
06/08/2006
Last updated
07/08/2007
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