MEDICARE: SAPHENA VEIN CLINIC & WELLNESS CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207QB0505X	Diabetology (Internal Medicine) Physician
2	261QM2500X	Medical Specialty Clinic/Center
3	207Q00000X	Family Medicine Physician
4	261QM1300X	Multi-Specialty Clinic/Center
5	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1851254551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAPHENA VEIN CLINIC & WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	616 E ALTAMONTE DR STE 105
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4811
Country	:	US
Telephone Number	:	321-972-2599
Fax Number	:	321-444-6771

Provider Business Practice Location Address
First Line	:	616 E ALTAMONTE DR STE 105
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4811
Country	:	US
Telephone Number	:	321-972-2599
Fax Number	:	321-444-6771

Authorized Official
Title or Position	:	OWNER / M.D.
Name	:	DR. CATHERINE B. YOUSSEF
Credential	:	M.D.
Telephone Number	:	727-510-7927

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/12/2025

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Directions to “SAPHENA VEIN CLINIC & WELLNESS CENTER, LLC ” Practice Location

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