Omar, Walid

Omar, Walid is an individual health care provider with primary practice located at 100 Whetstone Pl Suite 204, St Augustine FL 32086-5774. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Omar, Walid can be contacted via phone (217) 720-3144.

Contact Information

Primary practice address
100 Whetstone Pl Suite 204 St Augustine FL 32086-5774
Phone: (217) 720-3144
Fax: (904) 404-8447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME94907 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME94907 Florida

Profile Details

NPI number 1063466845
LBN Legal business name Omar, Walid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 26th, 2019 - about 5 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 1063466845 NPPES
Florida MEDICAID 274865700

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