Provider Demographics
NPI:1760681225
Name:EL-SHEIKH, OMAR MAHMOUD (MD, MSC, FRCS)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:MAHMOUD
Last Name:EL-SHEIKH
Suffix:
Gender:M
Credentials:MD, MSC, FRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E. 6TH STREET
Mailing Address - Street 2:SUITE 602
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-3663
Mailing Address - Country:US
Mailing Address - Phone:850-913-6960
Mailing Address - Fax:850-914-7065
Practice Address - Street 1:801 E. 6TH STREET
Practice Address - Street 2:SUITE 602
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3663
Practice Address - Country:US
Practice Address - Phone:850-913-6960
Practice Address - Fax:850-914-7065
Is Sole Proprietor?:No
Enumeration Date:2007-07-15
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1144712086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009572500Medicaid