Provider Demographics
NPI:1073859690
Name:ABDOU, MONICA MIKHAIL (PHARMD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MIKHAIL
Last Name:ABDOU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20870 SONRISA WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1745
Mailing Address - Country:US
Mailing Address - Phone:561-218-9018
Mailing Address - Fax:
Practice Address - Street 1:4399 NW 124TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-7634
Practice Address - Country:US
Practice Address - Phone:877-606-3443
Practice Address - Fax:866-817-9335
Is Sole Proprietor?:No
Enumeration Date:2012-12-31
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist