Individual
DR. OMAR KAWWAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4123 UNIVERSITY BLVD S, SUITE A, JACKSONVILLE, FL 32216-4371
(904) 737-2801
(904) 737-2441
Mailing address
4123 UNIVERSITY BLVD S, SUITE A, JACKSONVILLE, FL 32216-4371
(904) 737-2801
(904) 737-2441
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME 50380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055732300
—
FL
01
—
110051678
RAILRAOD MEDICARE
FL
Enumeration date
04/14/2006
Last updated
08/23/2011
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