NPI 1003010349

Wissam M Shaya, MD

Practitioner Family Medicine Physician Jacksonville, FL

Practice location

Address: 4235 Sunbeam Rd, Jacksonville, FL 32257-6013
Phone: (904) 322-8555
Fax: (904) 322-8578
Mailing address: 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME123703 (FL)

Other Family Medicine providers in Florida →

Registry record

NPI: 1003010349
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2007
Record last updated: 23 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.