Provider Demographics
NPI:1053682534
Name:WASSEF-YOUSSEF, MERA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MERA
Middle Name:
Last Name:WASSEF-YOUSSEF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5301
Mailing Address - Country:US
Mailing Address - Phone:727-375-2077
Mailing Address - Fax:727-375-7088
Practice Address - Street 1:1841 LITTLE RD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5301
Practice Address - Country:US
Practice Address - Phone:727-375-2077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist