MEDICARE: SAEID FARHADI MD PL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427208073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAEID FARHADI MD PL

Provider Business Mailing Address
First Line	:	2001 W REYNOLDS ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4743
Country	:	US
Telephone Number	:	813-719-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 W REYNOLDS ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4743
Country	:	US
Telephone Number	:	813-719-8200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAEID FARHADI
Credential	:
Telephone Number	:	813-719-8200

Provider Enumeration Date	:	09/19/2008
Last Update Date	:	10/22/2010

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