Provider Demographics
NPI:1487727079
Name:OSIAN, OMENI N (MD)
Entity type:Individual
Prefix:DR
First Name:OMENI
Middle Name:N
Last Name:OSIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 SE MAGNOLIA EXT
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4463
Mailing Address - Country:US
Mailing Address - Phone:352-351-1883
Mailing Address - Fax:352-351-1643
Practice Address - Street 1:1720 SE 16TH AVE STE 303
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4620
Practice Address - Country:US
Practice Address - Phone:352-369-0288
Practice Address - Fax:352-867-1053
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2024-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME105597208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME105597OtherFLORIDA LICENSE
FLME105597OtherFLORIDA LICENSE