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NPI Code Detail

MEDICARE: DR. ALEEM AZAL ALI MD

MEDICARE:  DR. ALEEM AZAL ALI  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
1207RG0100XGastroenterology Physician103108GA
2207R00000XInternal Medicine PhysicianTRN29742FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TRN29742OTHERFLFLORIDA MEDICAL BOARD

General Provider Information

NPI Number : 1578125100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEEM AZAL ALI MD
Provider Business Mailing Address
First Line : 653-1 W 8TH ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-244-3907
Fax Number :
Provider Business Practice Location Address
First Line : 655 W 8TH ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-244-3907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2019
Last Update Date : 01/05/2026

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Directions to “ DR. ALEEM AZAL ALI MD” Practice Location

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