Provider Demographics
NPI:1215370325
Name:SAID ASSIF PA
Entity Type:Organization
Organization Name:SAID ASSIF PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-442-3277
Mailing Address - Street 1:5509 GRAND BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3836
Mailing Address - Country:US
Mailing Address - Phone:727-844-5404
Mailing Address - Fax:727-844-5425
Practice Address - Street 1:5509 GRAND BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3836
Practice Address - Country:US
Practice Address - Phone:727-844-5404
Practice Address - Fax:727-844-5425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98568207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty