Dr. Omar Mubarak, DMD
Dentist in Davie, FL. Individual provider (NPI-1).
NPI number1124357751
StatusActive
Last updated in NPPESDec 29, 2015
Details
- NPI
- 1124357751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Omar Mubarak
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2009
- Last updated
- Dec 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN18853 | FL | Yes |
Practice location
6350 Palm Trace Landings DrApt #203
Davie, FL 33314-1838
Phone 770-826-8065
Mailing address
38029 Medical Center AveZephyrhills, FL 33540-1384
Phone 813-783-1119
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