Healthcare Provider Details

I. General information

NPI: 1487577615
Provider Name (Legal Business Name): ORAIB TOUKHLY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7805 SW 6TH CT
PLANTATION FL
33324-3203
US

IV. Provider business mailing address

7805 SW 6TH CT
PLANTATION FL
33324-3203
US

V. Phone/Fax

Practice location:
  • Phone: 954-866-5205
  • Fax: 954-516-0723
Mailing address:
  • Phone: 954-866-5205
  • Fax: 954-516-0723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: