Individual
DR. OMAR ATIR FADHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1162 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 343-9006
(407) 343-0999
Mailing address
1162 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 343-9006
(407) 343-0999
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0077191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44829Y
MEDICARE PTAN
FL
01
—
ME0077191
MEDICAL LICENSE NUMBER
FL
Enumeration date
12/15/2006
Last updated
02/18/2022
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