Provider Demographics
NPI:1568546299
Name:SAEDI, ROYA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROYA
Middle Name:
Last Name:SAEDI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 GALT OCEAN DR STE 1N
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-6833
Mailing Address - Country:US
Mailing Address - Phone:954-329-2690
Mailing Address - Fax:954-329-2691
Practice Address - Street 1:3535 GALT OCEAN DR STE 1N
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-6833
Practice Address - Country:US
Practice Address - Phone:954-329-2690
Practice Address - Fax:954-329-2691
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0034440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101961900Medicaid
FL0556050212Medicare ID - Type Unspecified