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Individual

OMER NASIROGLU

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(385) 325-1086
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(385) 325-1086

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME0087350
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
225808
HEALTHEASE
FL
01
2300559
UNITED HEALTH CARE
FL
01
71656
BCBS PPC
FL
Enumeration date
12/14/2005
Last updated
07/08/2007
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