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

Omar Wazzan

Individual provider Neurology Physician · NPI 1093255952

Omar Wazzan is a Neurology in Lakeland, Florida. Qualified in 1987, 39 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2017

Practice location Address checks out

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone: (863) 284-6809
Fax: (863) 284-6810
Show map & directions

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

Additional practice locations (1)

  • 130 Pablo St, Lakeland, FL 33803-3818 — (863) 284-5906

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME127244 (FL)

Record details

NPI number1093255952
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2017
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Tampa, FL 33647-4055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeland