Individual
DR. WASEEM FATHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3654 SWEET BUTTERCUP DR, ORLANDO, FL 32822-2957
(386) 289-9432
Mailing address
3654 SWEET BUTTERCUP DR, ORLANDO, FL 32822-2957
(386) 289-9432
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME150692
FL
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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