Individual
AMMAL SHELLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 206, DAYTONA BEACH, FL 32117-5169
(386) 281-3870
Mailing address
305 MEMORIAL MEDICAL PKWY STE 208, DAYTONA BEACH, FL 32117-5169
(386) 231-3406
(386) 231-3406
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
12/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us