Healthcare Provider Details

I. General information

NPI: 1629310099
Provider Name (Legal Business Name): FRAAZ M. SAYEED DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2013
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S APOLLO BLVD
MELBOURNE FL
32901
US

IV. Provider business mailing address

3165 MCCRORY PL STE 174
ORLANDO FL
32803-3727
US

V. Phone/Fax

Practice location:
  • Phone: 321-952-1234
  • Fax: 321-676-9199
Mailing address:
  • Phone: 305-343-2613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO3773
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: