MEDICARE: DR. SADAF SALEHI QESHMI

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	122300000X	Dentist	30789	FL

General Provider Information

NPI Number	:	1528756426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SADAF SALEHI QESHMI

Provider Business Mailing Address
First Line	:	7111 N BLUE ANGEL PKWY APT 3205
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-5050
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	938 BRIDGEWATER DR
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-6108
Country	:	US
Telephone Number	:	386-597-1265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	04/08/2026

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Directions to “ DR. SADAF SALEHI QESHMI ” Practice Location

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