Individual
DR. OMAR J. ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 SHADY BRANCH TRL, ORMOND BEACH, FL 32174-4930
(386) 672-9667
(386) 673-6364
Mailing address
103 SHADY BRANCH TRL, ORMOND BEACH, FL 32174-4930
(386) 672-9667
(386) 673-6364
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28613
NC
207P00000X
Emergency Medicine Physician
Primary
ME0043572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041884600
—
FL
01
—
MD2011-0670
STATE MEDICAL LICENSE
NM
01
—
ME43572
STATE MEDICAL LICENSE
FL
Enumeration date
11/17/2006
Last updated
12/01/2015
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