Provider Demographics
NPI:1225703028
Name:ZAKI YOUSSEF, HANY NESSIM
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:NESSIM
Last Name:ZAKI YOUSSEF
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 1:302 CHANDLER CIR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-3723
Mailing Address - Country:US
Mailing Address - Phone:407-484-8472
Mailing Address - Fax:
Practice Address - Street 1:9310 SOUTHPARK CENTER LOOP
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8634
Practice Address - Country:US
Practice Address - Phone:866-249-1556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist