Provider Demographics
NPI:1578846366
Name:MESSIHA, AMIR A (RPH)
Entity Type:Individual
Prefix:MR
First Name:AMIR
Middle Name:A
Last Name:MESSIHA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9814 MONTAGUE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1862
Mailing Address - Country:US
Mailing Address - Phone:727-465-8239
Mailing Address - Fax:
Practice Address - Street 1:11001 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5052
Practice Address - Country:US
Practice Address - Phone:352-610-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055035183500000X
NJ28RI03412600183500000X
FLPS41418183500000X
MI5302036050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist