Healthcare Provider Details

I. General information

NPI: 1801711957
Provider Name (Legal Business Name): JUAN DAYOUB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7987 NW 33RD ST
DORAL FL
33122-1001
US

IV. Provider business mailing address

8425 NW 41ST ST APT 152
DORAL FL
33166-6226
US

V. Phone/Fax

Practice location:
  • Phone: 305-773-5767
  • Fax:
Mailing address:
  • Phone: 305-773-5767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number45199
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: