Individual
OMAR FUNDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(786) 478-9397
Mailing address
4744 SW 195TH WAY, MIRAMAR, FL 33029-6203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9170887
FL
Other
Enumeration date
07/03/2006
Last updated
05/28/2015
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