Provider Demographics
NPI:1700489630
Name:AYAD, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:AYAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 SILVER SAGE WAY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2375
Mailing Address - Country:US
Mailing Address - Phone:347-495-8452
Mailing Address - Fax:
Practice Address - Street 1:5940 SILVER SAGE WAY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2375
Practice Address - Country:US
Practice Address - Phone:347-495-8452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist