Tutar, Ali

Tutar, Ali is an individual health care provider with primary practice located at 300 Health Park Blvd Suite 5010, St Augustine FL 32086-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tutar, Ali can be contacted via phone (904) 823-8809.

Contact Information

Primary practice address
300 Health Park Blvd Suite 5010 St Augustine FL 32086-3707
Phone: (904) 823-8809
Fax: (904) 823-8851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME85299 Florida

Profile Details

NPI number 1538114624
LBN Legal business name Tutar, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 2nd, 2018 - about 6 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 1538114624 NPPES
Florida MEDICAID 264667600

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