Faragalla, Wassem E

Faragalla, Wassem E is an individual health care provider with primary practice located at 13600 Icot Blvd Bldg. B, Clearwater FL 33760-3703. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Faragalla, Wassem E can be contacted via phone (888) 290-6321.

Contact Information

Primary practice address
13600 Icot Blvd Bldg. B Clearwater FL 33760-3703
Phone: (888) 290-6321
Fax: (727) 669-8417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3803 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO3803 Florida

Profile Details

NPI number 1598103905
LBN Legal business name Faragalla, Wassem E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2013
Last updated Mar 22nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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