Healthcare Provider Details

I. General information

NPI: 1437075330
Provider Name (Legal Business Name): NOLIA MEDICAL SERVICES OF FLORIDA P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 ROLLINGWOOD TRL
ALTAMONTE SPRINGS FL
32714-3411
US

IV. Provider business mailing address

4501 15TH AVE S STE 102
SEATTLE WA
98108-1874
US

V. Phone/Fax

Practice location:
  • Phone: 855-621-0466
  • Fax: 888-471-4927
Mailing address:
  • Phone: 855-621-0466
  • Fax: 888-471-4927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SABA HAQ
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 855-621-0466