Provider Demographics
NPI:1578179479
Name:DAABIES, OMAR (PA)
Entity Type:Individual
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First Name:OMAR
Middle Name:
Last Name:DAABIES
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:151 SOUTHHALL LN STE 300
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7172
Mailing Address - Country:US
Mailing Address - Phone:866-400-3376
Mailing Address - Fax:407-650-3455
Practice Address - Street 1:540 MEDICAL OAKS AVE STE 102
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5995
Practice Address - Country:US
Practice Address - Phone:866-400-3376
Practice Address - Fax:813-651-1401
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2024-01-22
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Provider Licenses
StateLicense IDTaxonomies
FLPA9114021363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant