Provider Demographics
NPI:1508152729
Name:SEDORA, NEDA ISABEL (MD)
Entity Type:Individual
Prefix:MISS
First Name:NEDA
Middle Name:ISABEL
Last Name:SEDORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEDA
Other - Middle Name:ISABEL
Other - Last Name:SEDORA-ROMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 162301
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-2301
Mailing Address - Country:US
Mailing Address - Phone:877-406-2916
Mailing Address - Fax:985-646-0750
Practice Address - Street 1:3663 S MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4253
Practice Address - Country:US
Practice Address - Phone:305-854-4400
Practice Address - Fax:985-646-0750
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1464332085R0202X, 2085N0700X
PAMD4608922085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology