Individual
OSAMA AL-SULEIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 OAKLEY SEAVER DR, CLERMONT, FL 34711-1968
(352) 432-7200
Mailing address
821 OAKLEY SEAVER DR, CLERMONT, FL 34711-1968
(352) 432-7200
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME86774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266607300
—
FL
01
—
269859500
MEDICAID GRP
FL
01
—
57703
BCBS OF FL PROV ID #
FL
01
—
7415255
CIGNA PROV ID #
FL
01
—
77940
MEDICARE GRP
FL
01
—
7841462
AETNA PROV ID #
FL
01
—
CJ7430
MDCRR GRP
FL
01
—
ME86774
STATE MEDICAL LICENSE
FL
01
—
P00684344
MDCRR
FL
Enumeration date
05/31/2005
Last updated
05/20/2013
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