Individual
ANTOINE MOURANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1303 SE 17TH ST, SUITE D1, FORT LAUDERDALE, FL 33316
(954) 687-0774
Mailing address
1303 SE 17TH ST STE D1, FORT LAUDERDALE, FL 33316-1722
(954) 687-0774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS54673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS54673
BOARD OF PHARMACY
FL
Enumeration date
09/20/2017
Last updated
07/21/2022
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