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
Fax: (407) 236-0402
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124027867 NPPES
Florida Other 09393 BC/BS
Florida Other 200030018 BC/BS
Florida MEDICAID 061726100 BC/BS

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