MEDICARE: NADIA M SADEK MD PA

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	207Q00000X	Family Medicine Physician	ME0055974	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528240298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NADIA M SADEK MD PA

Provider Business Mailing Address
First Line	:	1151 BLACKWOOD AVE
Second Line	:	SUITE 150
City	:	OCOEE
State	:	FL
Zip	:	34761-4523
Country	:	US
Telephone Number	:	407-297-3838
Fax Number	:	407-447-6046

Provider Business Practice Location Address
First Line	:	1151 BLACKWOOD AVE
Second Line	:	SUITE 150
City	:	OCOEE
State	:	FL
Zip	:	34761-4523
Country	:	US
Telephone Number	:	407-297-3838
Fax Number	:	407-447-6046

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NADIA M SADEK
Credential	:	M.D.
Telephone Number	:	407-297-3838

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	09/05/2011

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