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Organization

OMAR MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALID OMAR M.D. (PRESIDENT)
(217) 720-3144
Entity
Organization

Contact information

Practice address
100 WHETSTONE PL, STE 204, ST AUGUSTINE, FL 32086-5774
(217) 720-3144
Mailing address
100 WHETSTONE PL, STE 204, ST AUGUSTINE, FL 32086-5774
(217) 720-3144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0094907
FL
174400000X
Specialist
0097900
FL

Other

Enumeration date
05/12/2010
Last updated
04/26/2013
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