| Syed W Ali Md Pa | |
|
1680 Osceola Elementary Rd Ste A St Augustine FL 32084-5942 | |
| (904) 824-7476 | |
| (904) 824-7078 |
| Full Name | Syed W Ali Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1680 Osceola Elementary Rd Ste A, St Augustine, Florida |
| Authorized Official Name and Position | Syed Wasim Ali (PRESIDENT) |
| Authorized Official Contact | 9048245386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed W Ali Md Pa 2465 Us Highway 1 S Ste No19 St Augustine FL 32086-6076 Ph: (904) 824-7476 | Syed W Ali Md Pa 1680 Osceola Elementary Rd Ste A St Augustine FL 32084-5942 Ph: (904) 824-7476 |
| NPI Number | 1962719187 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 2466631551 |
|---|---|
| Medicare Enrollment ID | O20110120001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962719187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Syed W Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306842869 PECOS PAC ID: 6204896228 Enrollment ID: I20041015000186 |
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