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

Mr. Omar Bouso, CSA

Individual provider Surgical Assistant · NPI 1164144275

Mr. Omar Bouso, CSA is a Surgical Assistant in Pompano Beach, Florida. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

6932 SW 18th Ct
Pompano Beach, FL 33068-4328
Phone: (954) 204-2151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 22-533 (WI)

Record details

NPI number1164144275
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

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