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1720366974
OMAR EISSA
WINTER PARK, FL
NPI
1720366974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: TX BP1-0042031)
Enumeration Date
2011-07-21
Last Update Date
2018-04-27
Business Address
OMAR EISSA
1295 ORANGE AVE
WINTER PARK, FL 32789-4984
Phone number: 407-628-5051
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Mailing Address
OMAR EISSA
PO BOX 198207
ATLANTA, GA 30384-8207
Phone number: 952-542-8553
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