Provider Demographics
NPI:1689025215
Name:ABBY SAEDI MD LLC
Entity Type:Organization
Organization Name:ABBY SAEDI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABBASEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-230-8139
Mailing Address - Street 1:243 NOB HILL CIR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4430
Mailing Address - Country:US
Mailing Address - Phone:321-277-6441
Mailing Address - Fax:407-884-5337
Practice Address - Street 1:661 E ALTAMONTE DR
Practice Address - Street 2:SUITE 331
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5105
Practice Address - Country:US
Practice Address - Phone:407-230-8139
Practice Address - Fax:407-884-5337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110125207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty