Provider Demographics
NPI:1801675186
Name:DR MAE SHEIKH ALI ENDOCRINE CENTER LLC
Entity type:Organization
Organization Name:DR MAE SHEIKH ALI ENDOCRINE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-529-4165
Mailing Address - Street 1:14286 BEACH BLVD
Mailing Address - Street 2:STE 19 BOX 208
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250
Mailing Address - Country:US
Mailing Address - Phone:610-529-4165
Mailing Address - Fax:
Practice Address - Street 1:3627 UNIVERSITY BLVD S STE 310
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4294
Practice Address - Country:US
Practice Address - Phone:610-529-4165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty