Farah Siddiquah Persad

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108925 Issued in FL

Practice address

601 Gray Ave
Wildwood, FL 34785-3520

Phone

(352) 492-5611

NPI assigned

Sep 5, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment NPD
• Adventist Health System Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610
  Medicare reassignment
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1407472723
  Medicare reassignment
• Adventist Health System /Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1013563816

  Physician Assistant

  NPD
• Adventist Health System/ Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Physician Assistant

  NPD
• American Urgent Care and Walk in Clinics LLC

  • Urgent Care Clinic/Center
  • Wildwood, FL
  • NPI 1689273187
  NPD
• U.S. Healthworks Medical Group of Florida, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1447230925
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1528436649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRAY AVE",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347853520",
            "telephone_number": "352-492-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GRAY AVE",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347853520",
            "telephone_number": "352-492-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAD",
        "first_name": "FARAH",
        "middle_name": "SIDDIQUAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-05",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9108925",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outpatient Health Villages Services
• Carolina Pasahow
• Kaley Passera, LMT
• Pedro Arroyo MD PA
• Alyssa Perez, LMHC
• Promise Medical Group, PLLC
• Publix Super Markets, Inc
• Klarenz Bullecer Quijano
• Marjorie Quinn, COTA
• Qwik Draw Phlebotomy Service,LLC

• Physician Assistant in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.