Provider Demographics
NPI:1831437821
Name:RASHA YOUSSEF. M.D., P.A.
Entity type:Organization
Organization Name:RASHA YOUSSEF. M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RASHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:YOUSSEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-735-3334
Mailing Address - Street 1:3925 WEST BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4500
Mailing Address - Country:US
Mailing Address - Phone:561-735-3334
Mailing Address - Fax:561-735-3774
Practice Address - Street 1:3925 WEST BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE #102
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4500
Practice Address - Country:US
Practice Address - Phone:561-735-3334
Practice Address - Fax:561-735-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91431207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274021400Medicaid
FL274021400Medicaid