Individual
OMAR MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
ME123629
FL
207RG0100X
Gastroenterology Physician
63920
MN
207RG0100X
Gastroenterology Physician
ME123629
FL
Other
Enumeration date
07/16/2012
Last updated
06/11/2025
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