Individual provider · Type 1 NPI

Ammal Shelleh, PA

Surgical Physician Assistant · Daytona Beach, FL

NPI number 1497439772 Active

Practice location

305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169

Fax (407) 710-7571

Mailing address

305 Memorial Medical Pkwy Ste 208
Daytona Beach, FL 32117-5169

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9118055 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1497439772

Ammal Shelleh, PA's National Provider Identifier is 1497439772, issued on Jun 14, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Daytona Beach, FL. The record was last updated on Jun 9, 2026.