Doctor Name: | DR. SAIRA NASEER |
NPI Number: | 1063809200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13561-I |
Business Practice Address: | 1045 Us Highway 17 S Bartow, FL - 338306027 |
Business Phone Number: | 8638588000 |
Business Fax Number: | |
Mailing Address: | 935 Castle Way, LAKELAND |
State: | FL |
Postal Code: | 338033748 |
Phone Number: | 4234325855 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2015 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13561-I |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |