OMAIMA MOUSA (NPI# 1659307775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659307775 |
| Entity Type | Individual |
| Full Name | OMAIMA MOUSA |
| Credential | M.D. |
| Practice Address |
8880 Navarre Pkwy Ste 102 Navarre FL 32566-3613 |
| Practice Telephone | 8509395550 |
| Practice Fax Number | 8509395445 |
| Mailing Telephone | 8509395550 |
| Mailing Fax Number | 8509395445 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
ME87566 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD OF ALABAM | 591-68789 | 01 |
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | 81080 | 01 |
| FL | 268996100 | 05 |
| Street Address |
8880 NAVARRE PKWY STE 102 |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679509194 | Navarre Pediatrics Pl | Pediatrics | 8880 Navarre Pkwy Ste 102, Navarre, FL 32566-3613 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003842121 | Heba El Goweni | Pediatrics | 8880 Navarre Pkwy, Suite 102, Navarre, FL 32566-3612 | 2006-06-23 |
| 1679509194 | Navarre Pediatrics Pl | Pediatrics | 8880 Navarre Pkwy Ste 102, Navarre, FL 32566-3613 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1841794682 | W.b. Stewart Tigers Athletics Boosters | Pediatrics | 1658 Kings Rd, Jacksonville, FL 32209-6167 | 2018-03-19 |
| 1710330923 | Juan Ruiz-unger Md Pa | Pediatrics | 8900 Sw 24th St Ste 204, Miami, FL 33165-2075 | 2016-07-22 |
| 1922479625 | Bee Well Kidz Inc | Pediatrics | 13802 Landstar Blvd Ste 109, Orlando, FL 32824-5500 | 2015-10-08 |
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1679965487 | Howard I Finer Md Faap | Pediatrics | 2135 W State Road 434, Longwood, FL 32779-4983 | 2015-03-03 |
| 1154712198 | Pediatric &adolescent Medicine | Pediatrics | 7150 W 20th Ave Ste 612, Hialeah, FL 33016-5534 | 2015-02-12 |
| 1689064750 | Hilda Tejero | Pediatrics | 9495 Sunset Dr Ste B190, Miami, FL 33173-5419 | 2015-01-28 |
| 1720494024 | Focus-fl 1012 Pllc | Pediatrics | 1501 S Dale Mabry Hwy Ste A6, Tampa, FL 33629-5837 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.