Healthcare Provider Details

I. General information

NPI: 1669727459
Provider Name (Legal Business Name): TIM A. SAYED, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 07/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 STIRLING RD STE 100
FT LAUDERDALE FL
33312-6558
US

IV. Provider business mailing address

3600 FAU BLVD STE 202
BOCA RATON FL
33431-6474
US

V. Phone/Fax

Practice location:
  • Phone: 561-596-2676
  • Fax:
Mailing address:
  • Phone: 561-596-2676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME88445
License Number StateFL

VIII. Authorized Official

Name: TEM SAYED
Title or Position: OWNER
Credential: MD
Phone: 561-596-2676