Individual
DR. JIM O OMATSEYE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 CORAL HILLS DR, CORAL SPRINGS, FL 33065-4108
(908) 906-1010
Mailing address
8057 BLUE SAGE WAY, PARKLAND, FL 33076-4448
(908) 906-1010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
109386
FL
207P00000X
Emergency Medicine Physician
258593
NY
Other
Enumeration date
05/10/2011
Last updated
09/29/2022
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