person
Mr. Michael Brandon Omar, MD/MBBS
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1770077083

Michael Brandon Omar is a Student in an Organized Health Care Education/Training Program based in Jcaksonville, FL. Michael Brandon Omar practices in Jacksonville, FL and has the professional credentials of MD/MBBS. The NPI Number for Michael Brandon Omar is 1770077083 and holds a License No. TRN27652 (Florida).

The current practice location address for Michael Brandon Omar is 653-1 West 8Th Street, Jacksonville, FL and can be reached out via phone at 904-383-1003 and via fax at 904-244-7388.

Location: 653-1 West 8Th Street, Jacksonville, FL, 32209
person
Provider Profile Details
NPI Number
1770077083
Provider Name
Michael Brandon Omar
Credential
MD/MBBS
Provider Entity Type
Individual
Gender
Male
Address
653-1 West 8Th Street, Jacksonville, FL, 32209
Phone Number
904-383-1003
Fax Number
904-244-7388
Provider Enumeration Date
06/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TRN27652 01 FL FLORIDA TRAINING LICENSE
institution
Provider Business Practice Location Address Details
Address
653-1 West 8Th Street
City
State
Zip
32209
Phone Number
904-383-1003
Fax Number
904-244-7388
person
Provider Business Mailing Address Details
Address
653-1 West 8Th Street
City
State
Zip
32209
Phone Number
904-383-1003
Fax Number
904-244-7388
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
TRN27652 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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