Abdalla, Aza M

Abdalla, Aza M is an individual health care provider with primary practice located at 1 W Sample Rd , Pompano Beach FL 33064-3547. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Abdalla, Aza M can be contacted via phone (954) 320-2889.

Contact Information

Primary practice address
1 W Sample Rd Pompano Beach FL 33064-3547
Fax: (954) 785-8998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME116414 Florida

Profile Details

NPI number 1588903207
LBN Legal business name Abdalla, Aza M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2013
Last updated Sep 1st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588903207 NPPES
Florida Other 14R3P FLORIDA BLUE
Florida MEDICAID 009143000 FLORIDA BLUE

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