| Doctor Name: | OMNIA HADDAD |
| NPI Number: | 1093142879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3602 Bay Tree Rd Lynn Haven, FL - 324445655 |
| Business Phone Number: | 8503192307 |
| Business Fax Number: | |
| Mailing Address: | 3602 Bay Tree Rd, LYNN HAVEN |
| State: | FL |
| Postal Code: | 324445655 |
| Phone Number: | 8503192307 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2013 |
| NPI Last Update Date: | 10/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |