OMAR WAZZAN

LAKELAND, FL
NPI1093255952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  ME127244)
Enumeration Date2017-02-27
Last Update Date2022-07-28
Business Address
OMAR WAZZAN
3030 HARDEN BLVD
LAKELAND, FL 33803-7952
Phone number: 863-284-6809
Mailing Address
OMAR WAZZAN
1324 LAKELAND HILLS BLVD MANAGED CARE DEPT
TAMPA, FL 33647-4055
Phone number:
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