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NPI Code Detail

MEDICARE: OMAR ALI

MEDICARE: OMAR ALI
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
11041C0700XClinical Social WorkerSW18472FL
21041C0700XClinical Social WorkerLICSW1141252MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982369450
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMAR ALI
Provider Business Mailing Address
First Line : 6417 OAKDELL DR
Second Line :
City : TAMPA
State : FL
Zip : 33634-7337
Country : US
Telephone Number : 813-270-1724
Fax Number :
Provider Business Practice Location Address
First Line : 5707 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-4350
Country : US
Telephone Number : 813-239-8069
Fax Number : 813-231-7324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2021
Last Update Date : 05/08/2026

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Directions to “ OMAR ALI ” Practice Location

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