MEDICARE: DR. SAFI UDDIN AHMED 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	207RC0000X	Cardiovascular Disease Physician	MD428517	PA
2	207RC0000X	Cardiovascular Disease Physician	ME126577	FL
3	207RC0000X	Cardiovascular Disease Physician	ME126577	FL
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	25MA08278500	NJ
5	207RC0001X	Clinical Cardiac Electrophysiology Physician	ME126577	FL

General Provider Information

NPI Number	:	1184849739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAFI UDDIN AHMED MD

Provider Business Mailing Address
First Line	:	107 MONTARA DR
Second Line	:
City	:	SEFFNER
State	:	FL
Zip	:	33584-5019
Country	:	US
Telephone Number	:	609-224-3634
Fax Number	:	863-271-4222

Provider Business Practice Location Address
First Line	:	13933 17TH ST STE 200
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-4604
Country	:	US
Telephone Number	:	352-437-5972
Fax Number	:	352-437-5974

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/09/2025

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