Healthcare Provider Details

I. General information

NPI: 1336558568
Provider Name (Legal Business Name): SARAH DAOUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2014
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3547 MORGANS BLUFF CT
LAND O LAKES FL
34639-4965
US

IV. Provider business mailing address

3547 MORGANS BLUFF CT
LAND O LAKES FL
34639-4965
US

V. Phone/Fax

Practice location:
  • Phone: 813-451-5238
  • Fax:
Mailing address:
  • Phone: 813-451-5238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number52428
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: