Healthcare Provider Details

I. General information

NPI: 1003607409
Provider Name (Legal Business Name): SOBIA SARWAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7037 ROSE AVE
ORLANDO FL
32810-4042
US

IV. Provider business mailing address

205 RIVERVIEW DR
LONGWOOD FL
32779-2147
US

V. Phone/Fax

Practice location:
  • Phone: 407-286-2965
  • Fax:
Mailing address:
  • Phone: 269-217-6424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10236271
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: