Individual
OMAR WAZZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3030 HARDEN BLVD, LAKELAND, FL 33803-7952
(863) 284-6809
(863) 284-6810
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, TAMPA, FL 33647-4055
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME127244
FL
Other
Enumeration date
02/27/2017
Last updated
07/28/2022
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