Provider Demographics
NPI:1871734996
Name:SAID ASSIF,MD,PA
Entity type:Organization
Organization Name:SAID ASSIF,MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SAID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-447-4039
Mailing Address - Street 1:12903 CASTLEMAINE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4471
Mailing Address - Country:US
Mailing Address - Phone:813-447-4039
Mailing Address - Fax:
Practice Address - Street 1:12903 CASTLEMAINE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-4471
Practice Address - Country:US
Practice Address - Phone:813-447-4039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278985000Medicaid
FL278985000Medicaid