1609588474 NPI number — RIAS ALI MD PLLC

Table of content: (NPI 1609588474)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609588474 NPI number — RIAS ALI MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIAS ALI MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609588474
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3865
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLIDAY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34692-3865
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-943-5200
Provider Business Mailing Address Fax Number:
727-943-5201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4740 MILE STRETCH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLIDAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34690-4331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-943-5200
Provider Business Practice Location Address Fax Number:
727-943-5201
Provider Enumeration Date:
12/23/2022

Additional Information

Authorized Official

Authorized Official Last Name:
ALI
Authorized Official First Name:
RIAS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-943-5200

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RI0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 116974100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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