Provider Demographics
NPI:1952124612
Name:NEUROLOGY & NEUROONCOLOGY CONSULTANT LLC
Entity type:Organization
Organization Name:NEUROLOGY & NEUROONCOLOGY CONSULTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:224-420-2453
Mailing Address - Street 1:2240 SW 76TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-6770
Mailing Address - Country:US
Mailing Address - Phone:224-420-2453
Mailing Address - Fax:352-323-1402
Practice Address - Street 1:2240 SW 76TH LN
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6770
Practice Address - Country:US
Practice Address - Phone:224-420-2453
Practice Address - Fax:352-323-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty