MEDICARE: FORTUNE O ALABI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	ME90480	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME90480	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00387707	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46020	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124025309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FORTUNE O ALABI MD

Provider Business Mailing Address
First Line	:	3480 POLYNESIAN ISLE BLVD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-1818
Country	:	US
Telephone Number	:	407-507-2615
Fax Number	:	407-507-2616

Provider Business Practice Location Address
First Line	:	3480 POLYNESIAN ISLE BLVD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746
Country	:	US
Telephone Number	:	407-507-2615
Fax Number	:	407-507-2616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	04/01/2026

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Directions to “ FORTUNE O ALABI MD” Practice Location

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