Gayasaddin, Omar
Gayasaddin, Omar is an sole proprietor health care provider with primary practice located at 7051 Southpoint Pkwy S Ste 300 , Jacksonville FL 32216-8713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Gayasaddin, Omar can be contacted via phone (904) 398-2720.Contact Information
Primary practice address
7051 Southpoint Pkwy S Ste 300
Jacksonville FL 32216-8713
Phone: (904) 398-2720
Fax: (904) 398-6408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | OS13365 | Florida |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | OS13365 | Florida |
Profile Details
| NPI number | 1881915619 |
|---|---|
| LBN Legal business name | Gayasaddin, Omar |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2010 |
| Last updated | May 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881915619 | NPPES |
| Florida | Other | NS468 | MEDICARE |
| Florida | Other | Q00073252 | MEDICARE |
| Florida | Other | 150K9 | MEDICARE |
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