Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Alpha Omega Medical Group, LLC

Organization Family Medicine Physician · NPI 1386136315

Alpha Omega Medical Group, LLC provides Family Medicine Physician services 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
Show map & directions

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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