Provider Demographics
NPI:1013016195
Name:SAEED, ASAAD TAWFIK
Entity type:Individual
Prefix:
First Name:ASAAD
Middle Name:TAWFIK
Last Name:SAEED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 N NOVA RD
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-4121
Mailing Address - Country:US
Mailing Address - Phone:386-671-2626
Mailing Address - Fax:386-671-2627
Practice Address - Street 1:915 N NOVA RD
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-4121
Practice Address - Country:US
Practice Address - Phone:386-671-2626
Practice Address - Fax:386-671-2627
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 11414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist