Witwit, Wisam A.

Witwit, Wisam A. is an individual health care provider with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Witwit, Wisam A. can be contacted via phone (386) 586-2000.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (386) 586-2000
Fax: (317) 705-5047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301110641 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME155790 Florida

Profile Details

NPI number 1750733614
LBN Legal business name Witwit, Wisam A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2016
Last updated May 9th, 2023 - about 3 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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