Kawwaff, Omar

Kawwaff, Omar is an sole proprietor health care provider with primary practice located at 4123 University Blvd S Suite A, Jacksonville FL 32216-4371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Kawwaff, Omar can be contacted via phone (904) 737-2801.

Contact Information

Primary practice address
4123 University Blvd S Suite A Jacksonville FL 32216-4371
Phone: (904) 737-2801
Fax: (904) 737-2441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME 50380 Florida

Profile Details

NPI number 1740244805
LBN Legal business name Kawwaff, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Aug 23rd, 2011 - about 13 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 1740244805 NPPES
Florida MEDICAID 055732300
Florida Other 110051678

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