Provider Demographics
NPI:1053700252
Name:HANIFF, AFSHAUN GIBRAUN (PHARMD)
Entity type:Individual
Prefix:
First Name:AFSHAUN
Middle Name:GIBRAUN
Last Name:HANIFF
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 1:3200 ROLLING OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-3052
Mailing Address - Country:US
Mailing Address - Phone:321-677-3972
Mailing Address - Fax:321-677-3882
Practice Address - Street 1:3200 ROLLING OAKS BLVD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-3052
Practice Address - Country:US
Practice Address - Phone:321-677-3972
Practice Address - Fax:321-677-3882
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52363183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist