Provider Demographics
NPI:1669710976
Name:AYAD, EMAD N (PHARM D)
Entity type:Individual
Prefix:DR
First Name:EMAD
Middle Name:N
Last Name:AYAD
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 KEY LARGO CIR
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-6942
Mailing Address - Country:US
Mailing Address - Phone:267-243-4056
Mailing Address - Fax:
Practice Address - Street 1:2595 N ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32118-3203
Practice Address - Country:US
Practice Address - Phone:386-677-1073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist