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NPI Code Detail

MEDICARE: OMAR E FIGUEROA MD

MEDICARE:   OMAR E FIGUEROA  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
1174400000XSpecialistME86656FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568468122
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMAR E FIGUEROA MD
Provider Business Mailing Address
First Line : 3 SHIRCLIFF WAY
Second Line : SUITE 724
City : JACKSONVILLE
State : FL
Zip : 32204-4757
Country : US
Telephone Number : 904-308-7959
Fax Number : 904-308-7938
Provider Business Practice Location Address
First Line : 3 SHIRCLIFF WAY
Second Line : SUITE 724
City : JACKSONVILLE
State : FL
Zip : 32204-4757
Country : US
Telephone Number : 904-308-7959
Fax Number : 904-308-7938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/11/2008

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Directions to “ OMAR E FIGUEROA MD” Practice Location

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