Individual
DR. SHAISTA SYEDA SAFDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3338
(321) 841-2170
Mailing address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3338
(321) 841-2170
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
AU2866626-U156
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME104910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001136100
—
FL
01
—
ME104910
MEDICAL LICENSE
FL
Enumeration date
08/30/2007
Last updated
11/10/2016
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