Provider Demographics
NPI:1467839647
Name:JARRETT, DAOUD (CEO)
Entity Type:Individual
Prefix:MR
First Name:DAOUD
Middle Name:
Last Name:JARRETT
Suffix:
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 TROPHY LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3346
Mailing Address - Country:US
Mailing Address - Phone:321-947-3899
Mailing Address - Fax:
Practice Address - Street 1:38 TROPHY LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3346
Practice Address - Country:US
Practice Address - Phone:321-947-3899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor