Provider Demographics
NPI:1336519966
Name:SAFIRA HEALTH INC.
Entity Type:Organization
Organization Name:SAFIRA HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-922-5870
Mailing Address - Street 1:1142 WILDE DR
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4046
Mailing Address - Country:US
Mailing Address - Phone:407-922-5870
Mailing Address - Fax:
Practice Address - Street 1:550 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-8908
Practice Address - Country:US
Practice Address - Phone:407-666-0828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5087261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service