Individual
NAYOMI ELLEN OMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 S KANNER HWY, STUART, FL 34994-4622
(772) 219-2777
(772) 219-0017
Mailing address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4542
(561) 694-9493
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME85895
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME85895
FL
207NS0135X
Procedural Dermatology Physician
ME85895
FL
Other
Enumeration date
05/08/2006
Last updated
01/05/2021
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