Individual
DR. WASIM E DEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8837 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217
(904) 990-0555
(904) 990-0551
Mailing address
8837 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217-4605
(904) 990-0555
(904) 990-0551
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME102044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003365-00
—
FL
01
—
P0068261
RAILROAD MEDICARE
FL
Enumeration date
08/22/2006
Last updated
08/23/2019
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