Organization
OMNI CLEARWATER, LLC
Active
Parent organization
OMNI CONCEPTS, LLC
Other names
Omni Spine & Joint - Clearwater
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI CONCEPTS, LLC
Authorized official
SIDHARTH PANCHAMIA MD (OWNER/MANAGER)
(917) 202-9026
Entity
Organization
Contact information
Practice address
1811 N BELCHER RD STE H2, CLEARWATER, FL 33765-1433
(727) 724-6373
(727) 724-6377
Mailing address
3140 S FALKENBURG RD STE 205, RIVERVIEW, FL 33578-2594
(813) 565-8978
(813) 533-5511
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
08/19/2024
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