Individual
OMAR PURVIS HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11190 HEALTH PARK BLVD, NAPLES, FL 34110-5729
(239) 330-2933
(239) 330-2933
Mailing address
PO BOX 26069, TAMPA, FL 33623-6069
(239) 330-2933
(239) 330-2933
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME120379
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2011
Last updated
09/21/2017
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