Provider Demographics
NPI:1376530923
Name:AFRIDI, FARIYA S (MD)
Entity Type:Individual
Prefix:
First Name:FARIYA
Middle Name:S
Last Name:AFRIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 864073
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-4073
Mailing Address - Country:US
Mailing Address - Phone:386-226-4590
Mailing Address - Fax:386-226-3371
Practice Address - Street 1:841 JIMMY ANN DR
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-4583
Practice Address - Country:US
Practice Address - Phone:386-274-5333
Practice Address - Fax:386-274-4140
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME844312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME84431OtherVOLUSIA HEALTH NETWORK
FL271418300Medicaid
FLME84431OtherUNITED BENEFITS
FLU2673ZMedicare ID - Type Unspecified
FLME84431OtherUNITED BENEFITS