MEDICARE: ROH AFRIDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	ME0078925	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00241243	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	01689	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003928433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROH AFRIDI MD

Provider Business Mailing Address
First Line	:	207 N PLANT AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4731
Country	:	US
Telephone Number	:	813-754-4599
Fax Number	:	813-719-6398

Provider Business Practice Location Address
First Line	:	207 N PLANT AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4731
Country	:	US
Telephone Number	:	813-754-4599
Fax Number	:	813-719-6398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ ROH AFRIDI MD” Practice Location

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