Healthcare Provider Details

I. General information

NPI: 1942240072
Provider Name (Legal Business Name): KHALID SAEED DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E KENNEDY BLVD STE 415
TAMPA FL
33602-5823
US

IV. Provider business mailing address

201 E KENNEDY BLVD STE 415
TAMPA FL
33602-5823
US

V. Phone/Fax

Practice location:
  • Phone: 813-773-6715
  • Fax: 813-773-6716
Mailing address:
  • Phone: 813-773-6715
  • Fax: 813-773-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS8927
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS8927
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: