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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WISAM A. WITWIT, M.D.

Active

WISAM A. WITWIT, M.D. is a Neuroradiology healthcare provider located in PALM COAST, Florida. NPI 1750733614 is currently active in the NPPES registry. Verify at CMS.

Neuroradiology · PALM COAST, FL

Registration Details

NPI Number
1750733614
Provider Type
Individual
Gender
Male
NPI Issued
Jul 4, 2016 (10.127479681023 yrs)
Last Updated
May 9, 2023
Licenses
4301110641 (MI)
ME155790 (FL)

Practice Information

Address
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL, 321645980
Browse FL providers · Browse ZIP 32164
Phone
3865862000
Fax
3177055047
Primary Specialty
Neuroradiology
2085N0700X
Additional Specialty
Neuroradiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.