Provider Demographics
NPI:1730270034
Name:EL-SAYED MD PA
Entity type:Organization
Organization Name:EL-SAYED MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:HOSNY
Authorized Official - Last Name:EL-SAYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-724-3470
Mailing Address - Street 1:5800 COLONIAL DR
Mailing Address - Street 2:SUITE #403
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5682
Mailing Address - Country:US
Mailing Address - Phone:954-724-3470
Mailing Address - Fax:954-724-3473
Practice Address - Street 1:5800 COLONIAL DR
Practice Address - Street 2:SUITE #403
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5682
Practice Address - Country:US
Practice Address - Phone:954-724-3470
Practice Address - Fax:954-724-3473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63705174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25072Medicare ID - Type Unspecified
FLE96928Medicare UPIN