Individual
WAHBA W WAHBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 WILDWOOD ST, SUITE 1, DAYTONA BEACH, FL 32117-4568
(386) 258-7100
(386) 253-1843
Mailing address
810 WILDWOOD ST, SUITE 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
ME42004
FL
207RP1001X
Pulmonary Disease Physician
ME42004
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME42004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067962300
—
FL
Enumeration date
09/21/2006
Last updated
07/22/2013
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