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Contact Information

ATTIYA ALI
2105 PALM BAY RD. NE
SUITE 3
PALM BAY, FL32905-2937
 Phone: 321-984-8808
 Fax: 321-676-7011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ATTIYA ALI · (Female)

NPI # 1205944097
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2006
Last updated 09/24/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0062108
  • FL Medicaid 373757800
  • FL Other 4399726 AETNA
  • FL Other 224328 AMERIGROUP
  • FL Other 23941 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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