MEDICARE: MAY YOUSSEF KHALIL P.T.

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	225100000X	Physical Therapist	PT008310	GA
2	225100000X	Physical Therapist	PT24189	FL

General Provider Information

NPI Number	:	1417993783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAY YOUSSEF KHALIL P.T.

Provider Business Mailing Address
First Line	:	5048 WHITEWATER WAY
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-7970
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7350 SANDLAKE COMMONS BLVD
Second Line	:	SUITE 3315
City	:	ORLANDO
State	:	FL
Zip	:	32819-8040
Country	:	US
Telephone Number	:	407-345-8500
Fax Number	:

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	05/26/2010

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Directions to “ MAY YOUSSEF KHALIL P.T.” Practice Location

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