Provider Demographics
NPI:1336558568
Name:DAOUD, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DAOUD
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 1:3547 MORGANS BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-4965
Mailing Address - Country:US
Mailing Address - Phone:813-451-5238
Mailing Address - Fax:
Practice Address - Street 1:3547 MORGANS BLUFF CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-4965
Practice Address - Country:US
Practice Address - Phone:813-451-5238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL52428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist