Individual
AMMAL SHELLEH
Active
Individual
AMMAL SHELLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9118055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120832300
—
FL
01
—
SB409
MEDICARE HFPSI
FL
01
—
SB410
MEDICARE HFMG
FL
Enumeration date
06/14/2023
Last updated
06/09/2026
Update your record
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