MEDICARE: OMAR SULEIMAN M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1407796949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR SULEIMAN M.D.

Provider Business Mailing Address
First Line	:	2626 CARE DRIVE,
Second Line	:	SUITE 102
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308
Country	:	US
Telephone Number	:	850-878-8235
Fax Number	:

Provider Business Practice Location Address
First Line	:	2770 CAPITAL MEDICAL BLVD, CAPITAL PRIMARY CARE
Second Line	:	SUITE 200-A
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308
Country	:	US
Telephone Number	:	850-878-8235
Fax Number	:

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

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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