Provider Demographics
NPI:1427208073
Name:SAEID FARHADI MD PL
Entity Type:Organization
Organization Name:SAEID FARHADI MD PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAEID
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-719-8200
Mailing Address - Street 1:2001 W REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4743
Mailing Address - Country:US
Mailing Address - Phone:813-719-8200
Mailing Address - Fax:
Practice Address - Street 1:2001 W REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4743
Practice Address - Country:US
Practice Address - Phone:813-719-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty