Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alpha Omega Medical Group, LLC

Organization Family Medicine Physician · NPI 1386136315

Alpha Omega Medical Group, LLC is a Family Medicine Physician in Palm Harbor, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36503 US Highway 19 N
Palm Harbor, FL 34684
Phone: (201) 925-1105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME131622 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO3900 (FL)

Record details

NPI number1386136315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymon Hanna — Podiatrist/Foot And Ankle Surgeon · (201) 925-1105
NPI enumeratedJune 5, 2018
Last updated in NPPESJune 25, 2018
Mailing address5750 Rusack Dr, Melbourne, FL 32940-8016

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