Provider Demographics
NPI:1033365408
Name:KOITA, SAIDA (MD)
Entity type:Individual
Prefix:DR
First Name:SAIDA
Middle Name:
Last Name:KOITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S DIXIE HWY
Mailing Address - Street 2:SUITE 4-H
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2222
Mailing Address - Country:US
Mailing Address - Phone:305-666-5552
Mailing Address - Fax:
Practice Address - Street 1:420 S DIXIE HWY
Practice Address - Street 2:SUITE 4-H
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2222
Practice Address - Country:US
Practice Address - Phone:305-666-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry