Healthcare Provider Details

I. General information

NPI: 1023928579
Provider Name (Legal Business Name): WESAM ALI AZIZ ALI AZIZ ALI AZIZ ALBEER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8853 LAZY RIVER LOOP UNIT 223
NEW PORT RICHEY FL
34655-2357
US

IV. Provider business mailing address

8853 LAZY RIVER LOOP UNIT 223
NEW PORT RICHEY FL
34655-2357
US

V. Phone/Fax

Practice location:
  • Phone: 832-815-0245
  • Fax:
Mailing address:
  • Phone: 832-815-0245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH35401
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: