Provider Demographics
NPI:1619949245
Name:ALI, SABIR (MD)
Entity type:Individual
Prefix:DR
First Name:SABIR
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:UFJP HOLMES TRAUMA
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-244-3660
Mailing Address - Fax:904-244-3425
Practice Address - Street 1:1350 S HICKORY ST
Practice Address - Street 2:HOLMES REGIONAL MEDICAL CENTER
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3278
Practice Address - Country:US
Practice Address - Phone:321-434-1401
Practice Address - Fax:321-434-8939
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME44893208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0691542-00Medicaid
FL0691542-00Medicaid
FL31147ZMedicare PIN
FLC02112Medicare UPIN