MEDICARE: ALI ALHAQUE 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1588506612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI ALHAQUE MD

Provider Business Mailing Address
First Line	:	4725 N FEDERAL HWY FL 33308
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-542-3359
Fax Number	:	954-542-5790

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY FL 33308
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-542-3359
Fax Number	:	954-542-5790

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ ALI ALHAQUE MD” Practice Location

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