Healthcare Provider Details

I. General information

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

II. Dates (important events)

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

III. Provider practice location address

3080 NW 99TH AVE STE 304
CORAL SPRINGS FL
33065-4038
US

IV. Provider business mailing address

5520 PACIFIC BLVD APT 218
BOCA RATON FL
33433-6702
US

V. Phone/Fax

Practice location:
  • Phone: 754-812-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11043929
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: