Provider Demographics
NPI:1790142560
Name:SAFA MEDICAL, INC
Entity Type:Organization
Organization Name:SAFA MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAJID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-221-2535
Mailing Address - Street 1:PO BOX 65069
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-0002
Mailing Address - Country:US
Mailing Address - Phone:904-503-9650
Mailing Address - Fax:904-503-9627
Practice Address - Street 1:728 BLANDING BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-7728
Practice Address - Country:US
Practice Address - Phone:904-503-9650
Practice Address - Fax:904-503-9627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty