NPI 1003115296

Shahana Ali, PAC

Practitioner Physician Assistant Ocoee, FL

Practice location

Address: 10959 W Colonial Dr, Ocoee, FL 34761-2944
Phone: (407) 554-4590

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 014664-1 (NY)

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Registry record

NPI: 1003115296
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2011
Record last updated: 22 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.