Individual
ALY REZA SHERALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME118749
FL
Other
Enumeration date
08/13/2009
Last updated
10/07/2014
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