Individual
FUAD H SHAHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 W BASS STREET, KISSIMMEE, FL 34741-6625
(407) 846-3166
(407) 846-0019
Mailing address
320 W BASS STREET, KISSIMMEE, FL 34741-6625
(407) 846-3166
(407) 846-0019
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME71499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250989000
—
FL
Enumeration date
10/04/2005
Last updated
05/20/2015
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