Provider Demographics
NPI:1619193786
Name:GOUX, DEBORAH MILLER (RPH)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:MILLER
Last Name:GOUX
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:BROWN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4315 PASADENA CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3627
Mailing Address - Country:US
Mailing Address - Phone:941-923-0876
Mailing Address - Fax:
Practice Address - Street 1:4840 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4352
Practice Address - Country:US
Practice Address - Phone:941-927-9651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist