Macksoud, Wadih S.
Macksoud, Wadih S. is an individual health care provider with primary practice located at 1717 S Orange Ave #103, Orlando FL 32806-2944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Macksoud, Wadih S. can be contacted via phone (407) 236-0404.Contact Information
Primary practice address
1717 S Orange Ave #103
Orlando FL 32806-2944
Phone: (407) 236-0404
Fax: (407) 236-0402
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME0056028 | Florida |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | ME0056028 | Florida |
Profile Details
NPI number | 1124027867 |
---|---|
LBN Legal business name | Macksoud, Wadih S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
Last updated | May 15th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124027867 | NPPES |
Florida | Other | 09393 | BC/BS |
Florida | Other | 200030018 | BC/BS |
Florida | MEDICAID | 061726100 | BC/BS |
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