Michael Bouloswelson Fuad, is a
Pharmacist based in New Symerna Beach, Florida. Michael Bouloswelson Fuad is licensed to practice in Florida (license number PS62086) and his current practice location is
1800 New Symrna, New Symerna Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 428-1558.
NPI number for Michael Bouloswelson Fuad is 1821691726 and his current mailing address is 1748 Tributory Ln, Port Orange, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821691726.
Healthcare Provider's Profile
| Full Name | Michael Bouloswelson Fuad |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 1800 New Symrna, New Symerna Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821691726
- Provider Enumeration Date: 11/21/2020
- Last Update Date: 09/22/2022
Medical Identifiers
Medical identifiers for Michael Bouloswelson Fuad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821691726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS62086 (Florida) | Primary |
| 183500000X | Pharmacist | PH100003270 (District Of Columbia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Bouloswelson Fuad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Bouloswelson Fuad,
1748 Tributory Ln,
Port Orange, FL 32128-4049
Ph: (347) 691-9001 | Michael Bouloswelson Fuad,
1800 New Symrna,
New Symerna Beach, FL 32168
Ph: (386) 428-1558 |
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