Healthcare Provider Details

I. General information

NPI: 1629256474
Provider Name (Legal Business Name): OMNI MEDICAL CENTER FOR WOMEN PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 W PLATT ST
TAMPA FL
33606-2250
US

IV. Provider business mailing address

706 W PLATT ST
TAMPA FL
33606-2250
US

V. Phone/Fax

Practice location:
  • Phone: 813-251-2000
  • Fax: 813-251-9215
Mailing address:
  • Phone: 813-251-2000
  • Fax: 813-251-9215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME0077931
License Number StateFL

VIII. Authorized Official

Name: ATEF S ZAKHARY
Title or Position: PRES
Credential: MD
Phone: 813-251-2000