Provider Demographics
NPI:1942966395
Name:GUIRGUIS, VERINA
Entity Type:Individual
Prefix:
First Name:VERINA
Middle Name:
Last Name:GUIRGUIS
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 1:454 RICHMOND F
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2997
Mailing Address - Country:US
Mailing Address - Phone:954-994-7348
Mailing Address - Fax:
Practice Address - Street 1:1200 S ROGERS CIR STE 4
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-5703
Practice Address - Country:US
Practice Address - Phone:855-939-6337
Practice Address - Fax:561-206-6688
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist