MEDICARE: FARIYA S 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	2084P0800X	Psychiatry Physician	ME84431	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME84431	OTHER	FL	VOLUSIA HEALTH NETWORK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ME84431	OTHER	FL	UNITED BENEFITS

General Provider Information

NPI Number	:	1376530923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARIYA S AFRIDI MD

Provider Business Mailing Address
First Line	:	PO BOX 864073
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-4073
Country	:	US
Telephone Number	:	386-226-4590
Fax Number	:	386-226-3371

Provider Business Practice Location Address
First Line	:	841 JIMMY ANN DR
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-4583
Country	:	US
Telephone Number	:	386-274-5333
Fax Number	:	386-274-4140

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	08/27/2012

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Directions to “ FARIYA S AFRIDI MD” Practice Location

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