Healthcare Provider Details

I. General information

NPI: 1922677863
Provider Name (Legal Business Name): SABINA QASIM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 07/03/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ARNOLD PALMER HOSPITAL FOR CHILDREN 92 W. MILLER STREET
ORLANDO FL
32806
US

IV. Provider business mailing address

ARNOLD PALMER HOSPITAL FOR CHILDREN 92 W. MILLER STREET
ORLANDO FL
32806
US

V. Phone/Fax

Practice location:
  • Phone: 407-649-6876
  • Fax:
Mailing address:
  • Phone: 407-649-6876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125078886
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: