Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OMAR SUID
Active Sole ProprietorOMAR SUID is a Behavioral Health, Residential healthcare provider located in SAINT PETERSBURG, Florida. NPI 1477243988 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · SAINT PETERSBURG, FL
Registration Details
- NPI Number
- 1477243988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2023 (3.2634166195319 yrs)
- Last Updated
- May 9, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
12001 DR M.L.K. JR STREET NORTH3803SAINT PETERSBURG, FL, 337161611Browse FL providers · Browse ZIP 33716
- Phone
- 7273180498
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in SAINT PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES HOWARD DEAN | CBA | 1093835910 |
| ANASTASIA WAGNER | — | 1689085003 |
| ISABELLA A RIVERA | — | 1780355420 |
| ANDREW LAWRENCE | — | 1306598099 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.