Organization
SAFARI PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATAN JAAFAR MD (PRESIDENT)
(734) 476-8989
Entity
Organization
Contact information
Practice address
340 N WYMORE RD, SUITE B, WINTER PARK, FL 32789-2823
(407) 613-2473
(407) 613-2474
Mailing address
PO BOX 490, WINTER PARK, FL 32790-0490
(407) 613-2473
(407) 613-2474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME110851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005523100
—
FL
01
—
ME
ME110851
FL
Enumeration date
06/09/2015
Last updated
06/09/2015
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