Most Relevant Information
Provider Data
| NPI Number: | 1003010349 |
| Provider Name: | WISSAM M SHAYA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | ME123703 |
Most Important Dates
| Enumeration Date: | 06/12/2007 |
| Last Updated: | 08/23/2021 |
Provider Practice Location
4235 SUNBEAM RD
JACKSONVILLE
FL
322576013
Practice Location Phone/Fax
| Phone: | 9043228555 |
| Fax: | 9043228578 |
Provider Mailing Location
2675 WINKLER AVE FL 2
FORT MYERS
FL
339019342
Provider Mailing Phone/Fax
| Phone: | 8778563774 |
| Fax: | 2395992612 |
Suggested EMR
Family Practice EMR