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

Omar Elmandouh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275220543

Omar Elmandouh, MD is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1701 San Pablo Rd S Apt 1121
Jacksonville, FL 32224-3829
Phone: (904) 469-3292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1275220543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address1701 San Pablo Rd S Apt 1121, Jacksonville, FL 32224-3829

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