Individual
DAVID WISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CLINT MOORE RD STE 100, BOCA RATON, FL 33487-5712
(561) 939-0200
(561) 939-0274
Mailing address
8533 SWINLEY FOREST WAY, BOCA RATON, FL 33434-5868
(585) 820-4878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME164867
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME164867
FL
207RP1001X
Pulmonary Disease Physician
ME164867
FL
Other
Enumeration date
05/02/2011
Last updated
12/17/2025
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