Wahba, Wahba W

Wahba, Wahba W is an individual health care provider with primary practice located at 810 Wildwood St Suite 1, Daytona Beach FL 32117-4568. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Wahba, Wahba W can be contacted via phone (386) 258-7100.

Contact Information

Primary practice address
810 Wildwood St Suite 1 Daytona Beach FL 32117-4568
Phone: (386) 258-7100
Fax: (386) 253-1843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X ME42004 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME42004 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME42004 Florida

Profile Details

NPI number 1366541997
LBN Legal business name Wahba, Wahba W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 22nd, 2013 - about 11 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 1366541997 NPPES
Florida MEDICAID 067962300

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