# KINDBODY OF FL MEDICAL PRACTICE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982296737
- **Authorized official:** DR. FAHIMEH SASAN DO (FOUNDING OBGYN)
- **Authorized official phone:** (855) 563-2639

## Contact information

- **Practice address:** 1530 CELEBRATION BLVD STE 200, CELEBRATION, FL 34747-5165
- **Practice address phone:** (855) 563-2639
- **Mailing address:** 120 5TH AVE FL 5, NEW YORK, NY 10011-5638
- **Mailing address phone:** (855) 563-2639
- **Mailing address fax:** (646) 905-0987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VE0102X | Reproductive Endocrinology Physician | — | NULL | — |
| 207VE0102X | Reproductive Endocrinology Physician | — | — | — |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021