Individual
OMAR HAFEEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
4200 WASHINGTON ST, HOLLYWOOD, FL 33021-7353
(954) 981-6300
Mailing address
2341 N 61ST TER, HOLLYWOOD, FL 33024-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25006
FL
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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