Individual
OMAR EISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1295 ORANGE AVE, WINTER PARK, FL 32789-4984
(407) 628-5051
Mailing address
PO BOX 198207, ATLANTA, GA 30384-8207
(952) 542-8553
(409) 772-7120
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
BP1-0042031
TX
Other
Enumeration date
07/21/2011
Last updated
04/27/2018
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