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Khadra M Osman M D P A
Medical Specialty Clinic/Center in Fort Lauderdale, Florida
NPI 1467422097

Khadra M Osman M D P A is a Medical Specialty Clinic/Center based in Fort Lauderdale, FL and is specialized in Medical Specialty. Khadra M Osman M D P A practices in Fort Lauderdale, FL. The NPI Number for Khadra M Osman M D P A is 1467422097 and holds a License No. ME0060084 (Florida).

The current practice location address for Khadra M Osman M D P A is 1625 Se 3Rd Ave, Fort Lauderdale, FL and can be reached out via phone at 954-832-0055 and via fax at 954-832-0262.

Location: 1625 Se 3Rd Ave, Fort Lauderdale, FL, 33316-2521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467422097
Provider Name
Khadra M Osman M D P A
Credential
Provider Entity Type
Organization
Address
1625 Se 3Rd Ave, Fort Lauderdale, FL, 33316-2521
Phone Number
954-832-0055
Fax Number
954-832-0262
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370049600 05 FL
institution
Provider Business Practice Location Address Details
Address
1625 Se 3Rd Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2521
Phone Number
954-832-0055
Fax Number
954-832-0262
person
Provider Business Mailing Address Details
Address
1625 Se 3Rd Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2521
Phone Number
954-832-0055
Fax Number
954-832-0262
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME0060084 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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