Individual
ALI SHAHSAMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4225 W 20TH AVE, HIALEAH, FL 33012-5826
(786) 828-7552
Mailing address
300 PORT CHARLOTTE DR, PONTE VEDRA, FL 32081-0526
(443) 929-0357
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
175163
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
01/13/2026
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