Provider Demographics
NPI:1669756938
Name:HAMMOND, TAOUFIQ (RPH)
Entity type:Individual
Prefix:MR
First Name:TAOUFIQ
Middle Name:
Last Name:HAMMOND
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 1:3090 W NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-3658
Mailing Address - Country:US
Mailing Address - Phone:321-777-7706
Mailing Address - Fax:
Practice Address - Street 1:3090 W NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:W MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3658
Practice Address - Country:US
Practice Address - Phone:321-727-8453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL183500000X1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric