Healthcare Provider Details

I. General information

NPI: 1366843807
Provider Name (Legal Business Name): NADIA FALAH MD, MSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST STE 125
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

1201 6TH AVE W STE 100-668
BRADENTON FL
34205-7400
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5815
  • Fax: 407-303-0847
Mailing address:
  • Phone: 941-202-2260
  • Fax: 941-279-3154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number28427
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207SG0207X
TaxonomyMedical Biochemical Genetics
License Number162147
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberME162147
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: