Elfallal, Wissam Mohamed

Elfallal, Wissam Mohamed is an sole proprietor health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 505 , Daytona Beach FL 32117-5170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Elfallal, Wissam Mohamed can be contacted via phone (386) 231-3540.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 505 Daytona Beach FL 32117-5170
Phone: (386) 231-3540
Fax: (386) 231-3544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X OS17401 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 5101021284 Michigan

Profile Details

NPI number 1730594805
LBN Legal business name Elfallal, Wissam Mohamed
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2014
Last updated Aug 18th, 2021 - about 5 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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