Adams, Omar J.

Adams, Omar J. is an individual health care provider with primary practice located at 103 Shady Branch Trl , Ormond Beach FL 32174-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Adams, Omar J. can be contacted via phone (386) 672-9667.

Contact Information

Primary practice address
103 Shady Branch Trl Ormond Beach FL 32174-4930
Phone: (386) 672-9667
Fax: (386) 673-6364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME0043572 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28613 North Carolina

Profile Details

NPI number 1154494805
LBN Legal business name Adams, Omar J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154494805 NPPES
New Mexico Other MD2011-0670 STATE MEDICAL LICENSE
New Mexico Other ME43572 STATE MEDICAL LICENSE
New Mexico MEDICAID 041884600 STATE MEDICAL LICENSE

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