MEDICARE: DR. JONATHAN YOUSEF D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS8542	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033170790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN YOUSEF D.O.

Provider Business Mailing Address
First Line	:	29353 CHAPEL PARK DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-4490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 ARGERIAN DR STE 103
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4145
Country	:	US
Telephone Number	:	813-991-4991
Fax Number	:	812-907-8942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	10/16/2013

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