Ali, Attiya

Ali, Attiya is an sole proprietor health care provider with primary practice located at 2105 Palm Bay Rd. Ne Suite 3, Palm Bay FL 32905-2937. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Ali, Attiya can be contacted via phone (321) 984-8808.

Contact Information

Primary practice address
2105 Palm Bay Rd. Ne Suite 3 Palm Bay FL 32905-2937
Phone: (321) 984-8808
Fax: (321) 676-7011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME0062108 Florida

Profile Details

NPI number 1205944097
LBN Legal business name Ali, Attiya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Sep 24th, 2021 - about 4 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 1205944097 NPPES
Florida Other 224328 AMERIGROUP
Florida MEDICAID 373757800 AMERIGROUP
Florida Other 23941 AMERIGROUP
Florida Other 4399726 AMERIGROUP

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