Provider Demographics
NPI:1043565534
Name:SHEHAB, AHMAD (PHARMD)
Entity type:Individual
Prefix:MR
First Name:AHMAD
Middle Name:
Last Name:SHEHAB
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2761 MIGLIARA LN
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5030
Mailing Address - Country:US
Mailing Address - Phone:407-303-4517
Mailing Address - Fax:
Practice Address - Street 1:2761 MIGLIARA LN
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-5030
Practice Address - Country:US
Practice Address - Phone:407-303-4517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS491461835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist