Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 28491 | OK |
N | 208600000X | Surgeon | 28491 | OK |
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME137256 | FL |
NPI | 1184919102 |
---|---|
Provider Name | Dr. Omar E Beidas |
First Address | Orlando, FL 32806-2134 |
Second Address | Orlando, FL 32806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 20/06/2019 |