Individual
FARHAD DANIEL OMOUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
57546
KY
2085R0202X
Diagnostic Radiology Physician
Primary
ME127540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017861200
—
FL
Enumeration date
04/12/2011
Last updated
08/08/2023
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