Omar Medical Pllc

NPI #1346568532 in St Augustine, Florida

Provider Information

NPI Number: 1346568532
Entity Type: Organization
Organization Name: Omar Medical Pllc
Primary Specialty: Specialist
Enumeration Date: May 12, 2010
Last Updated: Apr 26, 2013

Practice Location

Address: 100 WHETSTONE PL
Address 2: STE 204
City: St Augustine
State: Florida
ZIP Code: 32086-5774
Phone: (217) 720-3144

Authorized Official

Name: WALID OMAR, M.D.
Title: PRESIDENT
Phone: (217) 720-3144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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