Healthcare Provider Details

I. General information

NPI: 1689536468
Provider Name (Legal Business Name): ASIA SAFFORD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21020 STATE ROAD 7 # 200C
BOCA RATON FL
33428-1320
US

IV. Provider business mailing address

2890 CENTER POINTE DR
FORT MYERS FL
33916-9521
US

V. Phone/Fax

Practice location:
  • Phone: 561-409-1071
  • Fax: 833-408-6200
Mailing address:
  • Phone: 239-274-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License NumberAPRN11043929
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: