Individual
SAADIA FERSOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
804 EMMETT ST, KISSIMMEE, FL 34741-5434
(407) 749-0380
(407) 569-4149
Mailing address
13403 FAIRWAY GLEN DR, APT 102, ORLANDO, FL 32824-5026
(646) 243-8363
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
01
—
ACN684
FLORIDA LICENSE
FL
Enumeration date
07/02/2008
Last updated
03/17/2018
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