IndividualActive
Ammal Shelleh, PA
NPI 1497439772 · Surgical Physician Assistant · Daytona Beach, FL
Provider details
- NPI number
- 1497439772
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9118055 (FL)
Practice location
305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169
Phone: (386) 281-3870
Fax: (407) 710-7571
Mailing address
305 Memorial Medical Pkwy Ste 208
Daytona Beach, FL 32117-5169
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.