Individual provider · NPI-1

Suhad Al Omaishi, MD

Internal Medicine · Fort Pierce, FL

NPI number1184201832

StatusActive

Last updated in NPPESJul 31, 2025

Details

NPI: 1184201832
Entity type: Individual (NPI-1)
Name: Suhad Al Omaishi
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 27, 2021
Certification date: Jul 31, 2025
Last updated: Jul 31, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	ME167224	FL	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

1700 S 23rd St
Fort Pierce, FL 34950-4803

Phone 772-461-4000

Mailing address

7904 Saddlebrook Dr
Port St Lucie, FL 34986-3113

Phone 832-677-3263

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