Individual
OMAR F DAJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1658 ST. VINCENT'S WAY, SUITE 300, MIDDLEBURG, FL 32068-8431
(904) 276-5100
(904) 276-5393
Mailing address
1658 ST. VINCENT'S WAY, SUITE 300, MIDDLEBURG, FL 32068-8431
(904) 276-5100
(904) 276-5393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME49977
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME49977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064339400
—
FL
Enumeration date
04/21/2006
Last updated
12/14/2017
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