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
Phone: (954) 320-2889
Fax: (954) 785-8998
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588903207 | NPPES |
Florida | Other | 14R3P | FLORIDA BLUE |
Florida | MEDICAID | 009143000 | FLORIDA BLUE |
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