Saadia Fersobe
General Practice Physician
804 Emmett St
Kissimmee
, Florida 34741-5434
Saadia Fersobe
General Practice Physician
804 Emmett St
Kissimmee
, Florida 34741-5434
(646) 243-8363
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Saadia Fersobe
- 13403 Fairway Glen Dr Apt 102
- Orlando, FL
- Zip : 32824-5026
- Phone : (646) 243-8363
Second Address
- Saadia Fersobe
- 804 Emmett St
- Kissimmee, FL
- Zip : 34741-5434
- Fax : (407) 569-4149
- Phone : (407) 749-0380
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Is Saadia Fersobe a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | ACN684 | FL |
National Provider Identifier
| NPI | 1013170893 |
|---|---|
| Provider Name | Saadia Fersobe |
| First Address | Orlando, FL 32824-5026 |
| Second Address | Kissimmee, FL 34741-5434 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2008 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00665274 | (05) | NY |
| ACN684 | FLORIDA LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.