Individual
JUAN JAVIER OMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 HILDA ST, SUITE 24, KISSIMMEE, FL 34741-2320
(407) 944-3071
Mailing address
201 HILDA ST, SUITE 24, KISSIMMEE, FL 34741-2320
(407) 944-3071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
263071
NY
208600000X
Surgery Physician
Primary
ME112922
FL
Other
Enumeration date
04/30/2012
Last updated
07/06/2012
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