Individual
DR. SAJID LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4641 S CLYDE MORRIS BLVD, UNIT 201, PORT ORANGE, FL 32129-6003
(386) 322-6340
(386) 322-6212
Mailing address
4641 S CLYDE MORRIS BLVD, UNIT 201, PORT ORANGE, FL 32129-6003
(386) 322-6340
(386) 322-6212
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0070777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005982
FLORIDA HEALTH CARE PLAN
—
01
—
1916107
AETNA
FL
05
—
253569600
—
FL
01
—
262829832
HUMANA
FL
01
—
390006858
RAILROAD MEDICARE
—
01
—
42321
BCBS
FL
01
—
N448386
HEALTHEASE
FL
01
—
P936412
OPTIMUM
FL
Enumeration date
09/29/2005
Last updated
02/09/2016
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