Healthcare Provider Details

I. General information

NPI: 1831341759
Provider Name (Legal Business Name): AYMAN DAABOUL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 HYPOLUXO RD
LAKE WORTH FL
33467-7676
US

IV. Provider business mailing address

5770 COACH HOUSE CIR APT F
BOCA RATON FL
33486-8632
US

V. Phone/Fax

Practice location:
  • Phone: 561-964-7866
  • Fax: 561-964-7887
Mailing address:
  • Phone: 561-361-4199
  • Fax: 561-964-7887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS0032059
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: