Provider Demographics
NPI:1811664873
Name:YOU HEALTH PRIMARY CARE, INC
Entity type:Organization
Organization Name:YOU HEALTH PRIMARY CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:GAFAS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-529-6651
Mailing Address - Street 1:7950 NW 53RD ST STE 337
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4791
Mailing Address - Country:US
Mailing Address - Phone:786-529-6651
Mailing Address - Fax:612-500-4880
Practice Address - Street 1:7950 NW 53RD ST STE 337
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4791
Practice Address - Country:US
Practice Address - Phone:786-529-6651
Practice Address - Fax:612-500-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL111894700Medicaid