Provider Demographics
NPI:1588823751
Name:LLAGUNA, OMAR HIDALGO (MD)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:HIDALGO
Last Name:LLAGUNA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2900 CORPORATE WAY
Mailing Address - Street 2:DOOR D
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3925
Mailing Address - Country:US
Mailing Address - Phone:954-276-5685
Mailing Address - Fax:954-985-7074
Practice Address - Street 1:601 N FLAMINGO RD STE 301
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1010
Practice Address - Country:US
Practice Address - Phone:954-855-9520
Practice Address - Fax:954-844-9525
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2021-03-16
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Provider Licenses
StateLicense IDTaxonomies
FLME1089202086X0206X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology