MEDICARE: DR. OMAR JUNAID 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
1	207R00000X	Internal Medicine Physician	57.009156	OH
2	207R00000X	Internal Medicine Physician	ME98682	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750479143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMAR JUNAID M.D

Provider Business Mailing Address
First Line	:	19046 BRUCE B DOWNS BLVD
Second Line	:	#92
City	:	TAMPA
State	:	FL
Zip	:	33647-2434
Country	:	US
Telephone Number	:	727-499-3616
Fax Number	:

Provider Business Practice Location Address
First Line	:	19046 BRUCE B DOWNS BLVD
Second Line	:	#92
City	:	TAMPA
State	:	FL
Zip	:	33647-2434
Country	:	US
Telephone Number	:	727-499-3616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	01/12/2016

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