Individual
WISSAM HADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 861-4451
(727) 697-6215
Mailing address
12202 ACCIPITER DR, ORLANDO, FL 32837-8118
(407) 790-6087
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS18333
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/01/2020
Last updated
05/02/2024
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