Individual
AMONYOUS ABDELMALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9811 ASHBURN LAKE DR, TAMPA, FL 33610-5911
(813) 505-6684
Mailing address
9811 ASHBURN LAKE DR, TAMPA, FL 33610-5911
(813) 505-6684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PSI 29724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSI 29724
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/14/2015
Last updated
08/14/2015
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