Provider Demographics
NPI:1093924060
Name:ABDOH, SHEREEN H
Entity Type:Individual
Prefix:MRS
First Name:SHEREEN
Middle Name:H
Last Name:ABDOH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15481 SW 11TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2445
Mailing Address - Country:US
Mailing Address - Phone:305-383-9683
Mailing Address - Fax:305-637-8227
Practice Address - Street 1:2505 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-2947
Practice Address - Country:US
Practice Address - Phone:305-637-8311
Practice Address - Fax:305-637-8227
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist