MEDICARE: ALI BADDAY 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	2085R0202X	Diagnostic Radiology Physician	ME133029	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	:	1619354263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI BADDAY M.D.

Provider Business Mailing Address
First Line	:	5840 RED BUG LAKE RD STE 185
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5011
Country	:	US
Telephone Number	:	407-699-1100
Fax Number	:	407-218-8906

Provider Business Practice Location Address
First Line	:	5840 RED BUG LAKE RD STE 185
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5011
Country	:	US
Telephone Number	:	407-699-1100
Fax Number	:	407-218-8906

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

Provider Enumeration Date	:	05/04/2015
Last Update Date	:	02/26/2018

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