Provider Demographics
NPI:1831851211
Name:GIRGIS, RAMI
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:
Last Name:GIRGIS
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 1:6085 W IRLO BRONSON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4512
Mailing Address - Country:US
Mailing Address - Phone:321-677-0349
Mailing Address - Fax:321-677-0321
Practice Address - Street 1:6085 W IRLO BRONSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-4512
Practice Address - Country:US
Practice Address - Phone:321-677-0349
Practice Address - Fax:321-677-0321
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60140183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist