SAADIA FERSOBE MD NPI 1013170893

NPI Information

NPI: 1013170893
Provider Name: SAADIA FERSOBE, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
804 EMMETT ST
KISSIMMEE, FL
ZIP 34741
Phone: (407) 749-0380
Get Directions

Saadia Fersobe, MD is a general practice in Kissimmee, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Saadia Fersobe, MD NPI is 1013170893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

804 EMMETT ST
KISSIMMEE, FL
ZIP 34741-434
Phone: (407) 749-0380
Fax: (407) 569-4149

The NPI 1013170893 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		ACN684	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00665274	MEDICAID	NEW YORK
2	ACN684	OTHER	FLORIDA	FLORIDA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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