MEDICARE: DR. MARIAM DARWICHE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS40133	FL

General Provider Information

NPI Number	:	1780967893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIAM DARWICHE

Provider Business Mailing Address
First Line	:	4601 N STATE ROAD 7
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4303
Country	:	US
Telephone Number	:	954-345-4456
Fax Number	:	954-345-5138

Provider Business Practice Location Address
First Line	:	4601 N STATE ROAD 7
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4303
Country	:	US
Telephone Number	:	954-345-4456
Fax Number	:	954-345-5138

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2011
Last Update Date	:	09/25/2011

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Directions to “ DR. MARIAM DARWICHE ” Practice Location

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