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

Wisam A. Witwit, MD

Individual provider Internal Medicine Physician · NPI 1750733614

Wisam A. Witwit, MD is a Diagnostic Radiology in Palm Coast, Florida. Qualified in 2005, 21 years ago. Practices with Florida Hospital Medical Group Inc, a 329-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
21
Licensed in
FL, MI
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone: (386) 586-2000
Fax: (317) 705-5047
Show map & directions

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

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence ME155790 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301110641 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750733614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2016
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Florida Hospital Medical Group Inc — 329 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare

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