Shayan Ali
NPI #1346015302 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1346015302
- Entity Type
- Individual
- Name
- Shayan Ali
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Nov 20, 2023
- Last Updated
- Nov 20, 2023
Practice Location
- Address
- 275 GARDINERS BAY DR
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081-4408
- Phone
- (904) 687-7245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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