Provider Demographics
NPI:1629256474
Name:OMNI MEDICAL CENTER FOR WOMEN PLC
Entity Type:Organization
Organization Name:OMNI MEDICAL CENTER FOR WOMEN PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:ATEF
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZAKHARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-251-2000
Mailing Address - Street 1:706 W PLATT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2250
Mailing Address - Country:US
Mailing Address - Phone:813-251-2000
Mailing Address - Fax:813-251-9215
Practice Address - Street 1:706 W PLATT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2250
Practice Address - Country:US
Practice Address - Phone:813-251-2000
Practice Address - Fax:813-251-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0077931207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1753Medicare PIN