Individual
DR. SAMEH FAYEZ WANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2925 10TH AVE N, SUITE 204, LAKE WORTH, FL 33461-3000
(561) 969-3500
(561) 966-8898
Mailing address
2925 10TH AVE N, SUITE 204, LAKE WORTH, FL 33461-3000
(561) 969-3500
(561) 966-8898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS7511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46246
FL BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/16/2006
Last updated
07/09/2007
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