Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | A119908 | CA |
Y | 208000000X | Pediatrician | ME131571 | FL |
NPI | 1780828798 |
---|---|
Provider Name | Aisha Firdos Asif |
First Address | Orlando, FL 32836-6862 |
Second Address | Winter Garden, FL 34787 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2009 |
Last Update Date | 13/04/2020 |