Healthcare Provider Details

I. General information

NPI: 1982498101
Provider Name (Legal Business Name): AL-SAADA PRIVATE PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 REW CIR STE 100
OCOEE FL
34761-4201
US

IV. Provider business mailing address

2716 REW CIR STE 100
OCOEE FL
34761-4201
US

V. Phone/Fax

Practice location:
  • Phone: 407-515-7788
  • Fax:
Mailing address:
  • Phone: 407-610-5288
  • Fax: 407-610-5209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMUEL SAAD ELIAS-AUSI
Title or Position: OWNER
Credential: MD
Phone: 407-610-5150