MEDICARE: DR. OMAR A AREF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME97076	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PG037	OTHER	FL	MEDICARE HF

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235106675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMAR A AREF MD

Provider Business Mailing Address
First Line	:	1707 W REYNOLDS ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4737
Country	:	US
Telephone Number	:	813-756-5695
Fax Number	:	813-059-3635

Provider Business Practice Location Address
First Line	:	1707 W REYNOLDS ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4737
Country	:	US
Telephone Number	:	813-756-5695
Fax Number	:	813-059-3635

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	06/22/2022

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