Provider Demographics
NPI:1508596701
Name:JOSEPH, RAUMI EZZAT (PHARMD)
Entity Type:Individual
Prefix:
First Name:RAUMI
Middle Name:EZZAT
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 BEE RIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2543
Mailing Address - Country:US
Mailing Address - Phone:941-552-6084
Mailing Address - Fax:941-388-7844
Practice Address - Street 1:4417 BEE RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2543
Practice Address - Country:US
Practice Address - Phone:941-552-6084
Practice Address - Fax:941-388-7844
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist