NPI 1083391429 · live from the CMS NPI Registry
Omar Abdelmaksoud, MD
Internal Medicine in Plantation, FL. National Provider Identifier 1083391429, active.
NPI record
| NPI | 1083391429 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 8201 W Broward Blvd, Plantation, FL 33324 |
| Practice phone | 425-535-3505 |
| Mailing address | 2420 130th Ave Se, Bellevue, WA 98005 |
| Enumerated | June 28, 2023 |
| Last updated | June 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | ML61329457 (WA) |
| Internal Medicine primary | 207R00000X | TRN42652 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.