Dr. Wissam M. Shaya M.D.
Family Medicine Physician in Jacksonville, FL(View on Map)
Full Name
Dr. Wissam M Shaya M.D.
NPI Number
1003010349
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/12/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME123703
Contact
Information
Purpose
Mailing
Location
Address
2675 WINKLER AVE FL 2
4235 SUNBEAM RD
City
Fort Myers
Jacksonville
State
FL
FL
Postal Code
33901-9342
32257-6013
Country
US
US
Telephone Number
(877) 856-3774
(904) 322-8555
Identifiers
Identifier
015772000
NY876
Identifier State
FL
FL
Identifier Issuer
Unknown
MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/23/2021