Organization
SOUTH FLORIDA CANCER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIA ABDULLA DO (MEDICAL DIRECTOR)
(954) 465-4693
Entity
Organization
Contact information
Practice address
1005 MARINA MILE BLVD, FORT LAUDERDALE, FL 33315-2433
(954) 658-6439
Mailing address
1005 MARINA MILE BLVD, FORT LAUDERDALE, FL 33315-2433
(954) 658-6439
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/05/2018
Last updated
03/25/2020
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