Provider Demographics
NPI:1518160852
Name:HUSAIN WILSON, SAMEEA (DO)
Entity Type:Individual
Prefix:DR
First Name:SAMEEA
Middle Name:
Last Name:HUSAIN WILSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SAMEEA
Other - Middle Name:
Other - Last Name:HUSAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:800 MEADOWS RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2304
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 MEADOWS RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2304
Practice Address - Country:US
Practice Address - Phone:561-955-4600
Practice Address - Fax:561-955-3259
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS-118062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology