Provider Demographics
NPI:1811786528
Name:HAIDAR, SOUMAIA
Entity type:Individual
Prefix:
First Name:SOUMAIA
Middle Name:
Last Name:HAIDAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5336 OLD OAK TREE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-5992
Mailing Address - Country:US
Mailing Address - Phone:689-261-6778
Mailing Address - Fax:
Practice Address - Street 1:5336 OLD OAK TREE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-5992
Practice Address - Country:US
Practice Address - Phone:689-261-6778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty