Organization
HUMA ALI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN BLASDELL (ADMINISTRATOR)
(954) 946-4539
Entity
Organization
Contact information
Practice address
8195 NW 105TH LN, PARKLAND, FL 33076-4763
(954) 926-3155
Mailing address
1451 W CYPRESS CREEK RD, #357, FORT LAUDERDALE, FL 33309-1961
(954) 946-4539
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME89011
FL
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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