Omni-Care Medical Center, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME30256 Issued in FL

Legal business name

OMNI-CARE MEDICAL CENTER, INC.

Practice address

2511 W Church St
Orlando, FL 32805-2329

Phone

(407) 578-9142

Fax

(407) 297-8420

NPI assigned

Mar 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Owen Delroy Fraser, M.D.

Title

Owner

Phone

(407) 578-9142

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1265673271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W CHURCH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052329",
            "telephone_number": "407-578-9142",
            "fax_number": "407-297-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 W CHURCH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052329",
            "telephone_number": "407-578-9142",
            "fax_number": "407-297-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI-CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "DELROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-578-9142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME30256",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME30256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crispus Nyambariga Ombui, CRNA
• Doris Liliam Omdahl, LMHC
• Omega Behavioral Care Corp.
• Elcin Omercikoglu, MD
• Omni Care Solutions of Florida II, LLC
• Omnia Injury Center
• Omnia Orthopedic and Pain Specialists
• Omnicare Medical Center Inc
• Ige Marvellous Omokinwa
• Farhad Daniel Omoumi, M.D.

• Medical Specialty Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.