Doctor Name: | MISS MARAM AHMAD YOUSEF |
NPI Number: | 1093161010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA 9109486 |
Business Practice Address: | 107 N Alexander St Plant City, FL - 335634831 |
Business Phone Number: | 8137541496 |
Business Fax Number: | |
Mailing Address: | 107 N Alexander St, PLANT CITY |
State: | FL |
Postal Code: | 335634831 |
Phone Number: | 8137541496 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2016 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 9109486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |