# OMAR DAVID HUSSAMY MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780635557
- **Authorized official:** MICHELLE CLOUGH (PRACTICE MANAGER)
- **Authorized official phone:** (772) 213-9800

## Contact information

- **Practice address:** 1717 INDIAN RIVER BLVD STE 202B, VERO BEACH, FL 32960-0864
- **Practice address phone:** (772) 213-9800
- **Practice address fax:** (772) 213-9810
- **Mailing address:** PO BOX 643408, VERO BEACH, FL 32964-3408
- **Mailing address phone:** (772) 213-9800
- **Mailing address fax:** (772) 213-9810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME65456 | FL | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 07/29/2024