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1104389469
OMER ISMAEEL
ORANGE PARK, FL
NPI
1104389469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME162466)
Enumeration Date
2019-04-12
Last Update Date
2023-10-24
Business Address
OMER ISMAEEL MD
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073-5129
Phone number: 904-368-6809
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Mailing Address
OMER ISMAEEL MD
2307 LAKEHORE DR NORTH
FLEMING ISLAND, FL 32003
Phone number: 904-993-4272
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