Healthcare Provider Details

I. General information

NPI: 1174462048
Provider Name (Legal Business Name): FARHAN SIDDIQI, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14153 YOSEMITE DR STE 103
HUDSON FL
34667-8064
US

IV. Provider business mailing address

11319 CORTEZ BLVD
SPRING HILL FL
34613-5407
US

V. Phone/Fax

Practice location:
  • Phone: 727-869-2663
  • Fax:
Mailing address:
  • Phone: 813-533-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: FARHAN SIDDIQI
Title or Position: PRESIDENT
Credential: MD
Phone: 813-533-7090