Rias Ali MD PLLC

Organization Active NPI Cardiovascular Disease Physician · Holiday, FL

NPI 1609588474 · NPPES record last updated Dec 23, 2022

Key facts

NPI
1609588474
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
RIAS ALI MD PLLC
Practice address
4740 Mile Stretch Dr
Holiday, FL 34690-4331
Phone
(727) 943-5200
Fax
(727) 943-5201
NPI assigned
Dec 23, 2022
Organization subpart
No

Authorized official

Name
Rias Ali, M.D.
Title
Owner
Phone
(727) 943-5200

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230201000639 FL Part B Supplier - Clinic/Group Practice 7214308170 Receives reassigned benefits from 1 practitioner
Practice locations: Holiday, FL

National Provider Directory

Locations

4740 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 943-5200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RC0000X Yes
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RI0011X

Addresses

Primary practice location

4740 Mile Stretch Dr
Holiday, FL 34690-4331

Mailing address

PO Box 3865
Holiday, FL 34692-3865
Phone (727) 943-5200

Other providers in Holiday, FL

All providers in Holiday, FL · Cardiovascular Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.