Individual
OMAR I FIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-3055
(312) 926-5924
(312) 926-6134
Mailing address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
(407) 266-1106
(407) 518-3923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN28410
FL
208M00000X
Hospitalist Physician
Primary
036171353
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
09/03/2024
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