Saadia Fersobe, MD | |
804 Emmett St, Kissimmee, FL 34741-5434 | |
(407) 749-0380 | |
(407) 569-4149 |
Full Name | Saadia Fersobe |
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Gender | Female |
Speciality | General Practice |
Location | 804 Emmett St, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013170893 | NPI | - | NPPES |
00665274 | Medicaid | NY | |
ACN684 | Other | FL | FLORIDA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN684 (Florida) | Primary |
Entity Name | Kidsville Pediatrics Iii, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215901723 PECOS PAC ID: 7214109669 Enrollment ID: O20111007000524 |
Mailing Address | Practice Location Address |
---|---|
Saadia Fersobe, MD 13403 Fairway Glen Dr, Apt 102, Orlando, FL 32824-5026 Ph: (646) 243-8363 | Saadia Fersobe, MD 804 Emmett St, Kissimmee, FL 34741-5434 Ph: (407) 749-0380 |
Dr. Carlos Javier Lugo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1960 E Osceola Pkwy, Kissimmee, FL 34743 Phone: 407-978-6400 Fax: 407-530-4326 | |
Norma Maria Perez - Torres, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 308 W Bass St, Kissimmee, FL 34741 Phone: 407-933-1760 Fax: 407-933-8060 | |
Mrs. Luciol D Livette, MD General Practice Medicare: Medicare Enrolled Practice Location: 109 N Doverplum Ave, Kissimmee, FL 34758 Phone: 407-943-8600 Fax: 833-464-3641 | |
Caridad Gonzalez, M.D. General Practice Medicare: May Accept Medicare Assignments Practice Location: 1952 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-978-6605 Fax: 407-978-6610 | |
David Riascos, MD General Practice Medicare: Medicare Enrolled Practice Location: 920 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-956-1920 | |
Dr. Sylvia Collazo, MD General Practice Medicare: Medicare Enrolled Practice Location: 833 E Oak St, Kissimmee, FL 34744 Phone: 407-350-3373 Fax: 407-910-4740 |