Healthcare Provider Details

I. General information

NPI: 1881956944
Provider Name (Legal Business Name): FERNANDO MARTIN SAFDIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD STE 2110
MIAMI BEACH FL
33140-2948
US

IV. Provider business mailing address

200 LOTHROP ST. C800
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2780
  • Fax: 305-674-2865
Mailing address:
  • Phone: 412-647-7555
  • Fax: 412-647-4710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberTRN#15318
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberMD460901
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: