Healthcare Provider Details

I. General information

NPI: 1306124813
Provider Name (Legal Business Name): OMAR ALKHARABSHEH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: OMAR ABED ABDELHAMEED ALKHARABSHEH MD

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S ORANGE AVE FL 2
ORLANDO FL
32806-2134
US

IV. Provider business mailing address

1400 S ORANGE AVE FL 2
ORLANDO FL
32806-2134
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-1893
  • Fax: 321-841-1296
Mailing address:
  • Phone: 321-841-1893
  • Fax: 321-841-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD.36911
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.153256
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number61604
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME182750
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: