Provider Demographics
NPI:1124575899
Name:ALSHARIF, ESSA OMRAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ESSA
Middle Name:OMRAN
Last Name:ALSHARIF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-1289
Mailing Address - Country:US
Mailing Address - Phone:813-844-4600
Mailing Address - Fax:813-844-1960
Practice Address - Street 1:10647 BIG BEND RD STE 212
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7176
Practice Address - Country:US
Practice Address - Phone:813-844-4600
Practice Address - Fax:813-844-1960
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101022882207Q00000X
FLOS20448207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine