MEDICARE: DR. KINGSLEY DAVID ALIU M.D.

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	207R00000X	Internal Medicine Physician	ME129440	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1275769556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KINGSLEY DAVID ALIU M.D.

Provider Business Mailing Address
First Line	:	6388 SILVER STAR RD STE 2H
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:	407-704-1771
Fax Number	:

Provider Business Practice Location Address
First Line	:	6388 SILVER STAR RD STE 2H
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:	407-704-1771
Fax Number	:	866-341-7487

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

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	06/24/2026

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