Provider Demographics
NPI:1063682540
Name:OMAR AREF MD PLC
Entity Type:Organization
Organization Name:OMAR AREF MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AREF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-567-5682
Mailing Address - Street 1:1707 W REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4737
Mailing Address - Country:US
Mailing Address - Phone:813-756-5695
Mailing Address - Fax:813-059-3635
Practice Address - Street 1:1707 W REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4737
Practice Address - Country:US
Practice Address - Phone:813-756-5695
Practice Address - Fax:813-059-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty