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Organization
SLEEP-WAKE DISORDER CENTER OF DAYTONA PA
Active
Organization
SLEEP-WAKE DISORDER CENTER OF DAYTONA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAHBA W WAHBA MD (OWNER)
(386) 258-7100
Entity
Organization
Contact information
Practice address
810 WILDWOOD ST, STE 1, DAYTONA BEACH, FL 32117-4568
(386) 258-7100
(386) 253-1843
Mailing address
810 WILDWOOD ST, STE 1, DAYTONA BEACH, FL 32117-4568
(386) 258-7100
(386) 253-1843
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/01/2012
Last updated
07/22/2013
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