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Organization

OMAR DAVID HUSSAMY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE CLOUGH (PRACTICE MANAGER)
(772) 213-9800
Entity
Organization

Contact information

Practice address
1717 INDIAN RIVER BLVD STE 202B, VERO BEACH, FL 32960-0864
(772) 213-9800
(772) 213-9810
Mailing address
PO BOX 643408, VERO BEACH, FL 32964-3408
(772) 213-9800
(772) 213-9810

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME65456
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200025538
RAILROAD MEDICARE
FL
01
23805
BCBS
FL
Enumeration date
05/15/2006
Last updated
07/29/2024
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