Provider Demographics
NPI:1154376648
Name:YOUSSEF, RASHA R (MD)
Entity type:Individual
Prefix:MRS
First Name:RASHA
Middle Name:R
Last Name:YOUSSEF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91431207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME91431OtherMEDICAL LICENSE
FLME91431OtherMEDICAL LICENSE
FLME91431OtherMEDICAL LICENSE
FLU5816XMedicare PIN