Individual
SHABANA NAZIMA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2825 SE 3RD CT, OCALA, FL 34471-0444
(352) 867-0024
Mailing address
14331 BENDING BRANCH COURT, ORLANDO, FL 32824
(407) 454-1753
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
4498
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
06/14/2023
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