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Organization
OMNI HEALTHCARE SERVICES, INC.
Active
Organization
OMNI HEALTHCARE SERVICES, INC.
Active
Other names
Omni Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIA HOOPER MD (PRESIDENT)
(813) 961-1411
Entity
Organization
Contact information
Practice address
10036 WATER WORKS LN, RIVERVIEW, FL 33578-5301
(813) 961-1411
(813) 671-1056
Mailing address
16765 FISHHAWK BLVD, SUITE 314, LITHIA, FL 33547-3860
(813) 961-1411
(813) 671-1056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72164
FL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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