| Doctor Name: | SAADIA FERSOBE-MATOS |
| NPI Number: | 1013170893 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ACN684 |
| Business Practice Address: | 833 E Oak St Kissimmee, FL - 347445838 |
| Business Phone Number: | 3214224866 |
| Business Fax Number: | 4073694652 |
| Mailing Address: | 13403 Fairway Glen Dr, Apt 102 ORLANDO |
| State: | FL |
| Postal Code: | 328245026 |
| Phone Number: | 6462438363 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN684 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |