Provider Demographics
NPI:1225036304
Name:YOUSSEF, SAMEH (MD FACC)
Entity type:Individual
Prefix:
First Name:SAMEH
Middle Name:
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 W BOYNTON BEACH BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436
Mailing Address - Country:US
Mailing Address - Phone:561-735-3334
Mailing Address - Fax:561-735-3774
Practice Address - Street 1:3925 W BOYNTON BEACH BLVD
Practice Address - Street 2:STE 102
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436
Practice Address - Country:US
Practice Address - Phone:561-735-3334
Practice Address - Fax:561-735-3774
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H13360Medicare UPIN
K6174Medicare ID - Type Unspecified