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NPI Code Detail

MEDICARE: OMAR SULEIMAN M.D.

MEDICARE:   OMAR  SULEIMAN  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1407796949
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMAR SULEIMAN M.D.
Provider Business Mailing Address
First Line : 2626 CARE DRIVE,
Second Line : SUITE 102
City : TALLAHASSEE
State : FL
Zip : 32308
Country : US
Telephone Number : 850-878-8235
Fax Number :
Provider Business Practice Location Address
First Line : 2770 CAPITAL MEDICAL BLVD, CAPITAL PRIMARY CARE
Second Line : SUITE 200-A
City : TALLAHASSEE
State : FL
Zip : 32308
Country : US
Telephone Number : 850-878-8235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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