Ali, Syed Wasim

Ali, Syed Wasim is an sole proprietor health care provider with primary practice located at 236 Southpark Circle East , St Augustine FL 32086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ali, Syed Wasim can be contacted via phone (904) 824-5386.

Contact Information

Primary practice address
236 Southpark Circle East St Augustine FL 32086
Phone: (904) 824-5386
Fax: (904) 824-5387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0068402 Florida

Profile Details

NPI number 1306842869
LBN Legal business name Ali, Syed Wasim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jun 17th, 2008 - about 17 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 1306842869 NPPES
Florida Other 28877 BLUE CROSS BLUE SHEILD ID
Florida Other 593463106 BLUE CROSS BLUE SHEILD ID
Florida MEDICAID 250283600 BLUE CROSS BLUE SHEILD ID
Florida Other 5438521 BLUE CROSS BLUE SHEILD ID

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