Healthcare Provider Details

I. General information

NPI: 1912743824
Provider Name (Legal Business Name): GRATEFUL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

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: 877-673-8982
Mailing address:
  • Phone: 352-809-6233
  • Fax: 877-673-8982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. YOUSSEF AOUNI
Title or Position: OWNER / PROVIDER
Credential: APRN
Phone: 321-746-4208