Individual
ATEF WASEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
(330) 363-7770
Mailing address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35078996
OH
207L00000X
Anesthesiology Physician
ME161338
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME161338
FL
208VP0000X
Pain Medicine Physician
ME161338
FL
208VP0014X
Interventional Pain Medicine Physician
ME161338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121514100
—
FL
05
—
2285165
—
OH
Enumeration date
03/31/2006
Last updated
10/01/2024
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