HUMA ALI MD PA
Osteopathic Medicine at 105 Ln, Pompano Beach, FL

License number
Florida ME89011
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: KRISTIN BLASDELL
Title: ADMINISTRATOR
Phone: (954) 946-4539
Address
Address 2
8195 NW 105Th Ln, Pompano Beach, FL 33076
1451 W Cypress Creek Rd #357, Fort Lauderdale, FL 33309
National Provider ID: 1821314956
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HUMA ALI, M.D., PA

Boca Raton, FL  -  Pompano Beach, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Feb 19, 2004
Addresses:
10571 Bexley Blvd, Boca Raton, FL 33428 (Physical)
7401 W Cypress Dr, Pompano Beach, FL 33067
5050 NW 83 Ln, Pompano Beach, FL 33067
5401 N University Dr, Pompano Beach, FL 33067
9840 Grand Verde Way, Boca Raton, FL 33428
State ID:
P04000035244
Business type:
Domestic for Profit Corporation
Director, President:
Huma Md Ali (Director, President), 10571 Bexley Blvd, Boca Raton, FL 33428 (Physical)
Agent:
Huma Ali

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