Diabetes Thyroid And Endocrine Advanced Care Inc | |
2802 Aloma Ave Suite 101 Winter Park FL 32792-3532 | |
(407) 488-2555 | |
Not Available |
Full Name | Diabetes Thyroid And Endocrine Advanced Care Inc |
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Speciality | Internal Medicine |
Location | 2802 Aloma Ave, Winter Park, Florida |
Authorized Official Name and Position | Ahmad H Ali (OWNER) |
Authorized Official Contact | 4074882555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diabetes Thyroid And Endocrine Advanced Care Inc 2802 Aloma Ave Suite 101 Winter Park FL 32792-3532 Ph: () - | Diabetes Thyroid And Endocrine Advanced Care Inc 2802 Aloma Ave Suite 101 Winter Park FL 32792-3532 Ph: (407) 488-2555 |
NPI Number | 1700281813 |
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Provider Enumeration Date | 10/31/2014 |
Last Update Date | 11/07/2014 |
Medicare PECOS PAC ID | 3577887298 |
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Medicare Enrollment ID | O20150128000966 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700281813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Ahmad H Ali |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1538337860 PECOS PAC ID: 0648349720 Enrollment ID: I20080515000125 |
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