Provider Demographics
NPI:1164109450
Name:CHARKAWI, DALIA GUERGUES NAGUIB
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:GUERGUES NAGUIB
Last Name:CHARKAWI
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 1:9810 SCRIBNER LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6486
Mailing Address - Country:US
Mailing Address - Phone:561-827-4984
Mailing Address - Fax:561-842-1617
Practice Address - Street 1:9810 SCRIBNER LN
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6486
Practice Address - Country:US
Practice Address - Phone:615-827-4984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist