Provider Demographics
NPI:1093197576
Name:YOUSEF, NABILA (PA)
Entity Type:Individual
Prefix:
First Name:NABILA
Middle Name:
Last Name:YOUSEF
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 NE 125TH ST
Mailing Address - Street 2:SUITE 409
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5821
Mailing Address - Country:US
Mailing Address - Phone:786-436-8938
Mailing Address - Fax:305-503-7363
Practice Address - Street 1:1065 NE 125TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5821
Practice Address - Country:US
Practice Address - Phone:305-891-0050
Practice Address - Fax:305-503-7363
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108419363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant