Provider Demographics
NPI:1003928433
Name:AFRIDI, ROH (MD)
Entity Type:Individual
Prefix:
First Name:ROH
Middle Name:
Last Name:AFRIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 N PLANT AVE
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4731
Mailing Address - Country:US
Mailing Address - Phone:813-754-4599
Mailing Address - Fax:813-719-6398
Practice Address - Street 1:207 N PLANT AVE
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4731
Practice Address - Country:US
Practice Address - Phone:813-754-4599
Practice Address - Fax:813-719-6398
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0078925207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00241243OtherRAILROAD MEDICARE
FL01689OtherBCBS
FL261456100Medicaid
FLE5388DMedicare ID - Type Unspecified
FLP00241243OtherRAILROAD MEDICARE