Healthcare Provider Details

I. General information

NPI: 1215616149
Provider Name (Legal Business Name): OMAR ABDERHMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 11/23/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 ARGYLE FOREST BLVD STE 803
JACKSONVILLE FL
32244-7706
US

IV. Provider business mailing address

7855 ARGYLE FOREST BLVD STE 803
JACKSONVILLE FL
32244-7706
US

V. Phone/Fax

Practice location:
  • Phone: 904-884-0328
  • Fax:
Mailing address:
  • Phone: 904-884-0328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14605
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH14605
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License NumberCH14605
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH14605
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License NumberCH14605
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH14605
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH14605
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberCH14605
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: