MEDICARE: OMAR AREF MD PLC

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	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1063682540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMAR AREF MD PLC

Provider Business Mailing Address
First Line	:	1707 W REYNOLDS ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4737
Country	:	US
Telephone Number	:	813-756-5695
Fax Number	:	813-059-3635

Provider Business Practice Location Address
First Line	:	1707 W REYNOLDS ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4737
Country	:	US
Telephone Number	:	813-756-5695
Fax Number	:	813-059-3635

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. OMAR AREF
Credential	:	M.D.
Telephone Number	:	813-567-5682

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	04/19/2018

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