Healthcare Provider Details

I. General information

NPI: 1750350591
Provider Name (Legal Business Name): FARRUKH SAEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876 S PARSONS AVE
BRANDON FL
33511-6007
US

IV. Provider business mailing address

876 S PARSONS AVE
BRANDON FL
33511-6007
US

V. Phone/Fax

Practice location:
  • Phone: 813-653-3359
  • Fax: 813-662-9639
Mailing address:
  • Phone: 813-653-3359
  • Fax: 813-662-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0056348
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: