Individual
DR. OMMUL BANEEN ALI FATMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 650-7000
(407) 567-5924
Mailing address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 650-7000
(407) 567-5924
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
OS21309
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
08/01/2024
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