Omarov, Marina

Omarov, Marina is an individual health care provider with primary practice located at 1379 Lyons Road , Coconut Creek FL 33063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Omarov, Marina can be contacted via phone (954) 975-4010.

Contact Information

Primary practice address
1379 Lyons Road Coconut Creek FL 33063
Phone: (954) 975-4010
Fax: (954) 783-2321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107465 Florida

Profile Details

NPI number 1316369234
LBN Legal business name Omarov, Marina
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2014
Last updated Sep 18th, 2023 - about 2 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 1316369234 NPPES
Florida MEDICAID 101059100

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