Provider Demographics
NPI:1396324984
Name:AKEL, WAGEHA (MD)
Entity type:Individual
Prefix:
First Name:WAGEHA
Middle Name:
Last Name:AKEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9303
Mailing Address - Country:US
Mailing Address - Phone:877-463-2010
Mailing Address - Fax:
Practice Address - Street 1:1951 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-9303
Practice Address - Country:US
Practice Address - Phone:877-463-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2025-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME175473207QA0000X
PAMD480829207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine