Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Hosam Wasily Shaker, MBBCH

Individual provider Surgery Physician · NPI 1114629201

Andrew Hosam Wasily Shaker, MBBCH is a Surgery Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence TRN37498 (FL)

Record details

NPI number1114629201
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCH
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

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