Provider Demographics
NPI:1023989357
Name:AYOUB, MONIKA (DMD)
Entity type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:
Last Name:AYOUB
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13100 PARK BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-3539
Mailing Address - Country:US
Mailing Address - Phone:727-732-2633
Mailing Address - Fax:
Practice Address - Street 1:13100 PARK BLVD STE D
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-3539
Practice Address - Country:US
Practice Address - Phone:727-732-2633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN310241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice