Provider Demographics
NPI:1093238602
Name:MASRI, YUSUF JOE
Entity Type:Individual
Prefix:
First Name:YUSUF
Middle Name:JOE
Last Name:MASRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12651 S DIXIE HWY STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-5955
Mailing Address - Country:US
Mailing Address - Phone:305-232-9222
Mailing Address - Fax:305-232-8808
Practice Address - Street 1:12651 S DIXIE HWY STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-5955
Practice Address - Country:US
Practice Address - Phone:305-232-9222
Practice Address - Fax:305-232-8808
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT32147225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist