Healthcare Provider Details

I. General information

NPI: 1720654650
Provider Name (Legal Business Name): YOUSSEF AOUNI APRN-FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date: 05/06/2025
Reactivation Date: 05/22/2025

III. Provider practice location address

345 N GROVE ST STE 103-B
EUSTIS FL
32726-3415
US

IV. Provider business mailing address

345 N GROVE ST STE 103-B
EUSTIS FL
32726-3415
US

V. Phone/Fax

Practice location:
  • Phone: 352-809-6233
  • Fax:
Mailing address:
  • Phone: 352-809-6233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11013412
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: