Healthcare Provider Details

I. General information

NPI: 1831437821
Provider Name (Legal Business Name): RASHA YOUSSEF. M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 WEST BOYNTON BEACH BLVD SUITE #102
BOYNTON BEACH FL
33436-4500
US

IV. Provider business mailing address

3925 WEST BOYNTON BEACH BLVD SUITE 102
BOYNTON BEACH FL
33436-4500
US

V. Phone/Fax

Practice location:
  • Phone: 561-735-3334
  • Fax: 561-735-3774
Mailing address:
  • Phone: 561-735-3334
  • Fax: 561-735-3774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME91431
License Number StateFL

VIII. Authorized Official

Name: RASHA R. YOUSSEF
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 561-735-3334