Provider Demographics
NPI:1417743188
Name:YOUNAN, GIRGIS
Entity type:Individual
Prefix:
First Name:GIRGIS
Middle Name:
Last Name:YOUNAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:GIRGIS
Other - Middle Name:AYAD ABASHAROUN
Other - Last Name:YOUNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4315 CURRY FORD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2706
Mailing Address - Country:US
Mailing Address - Phone:407-277-8781
Mailing Address - Fax:
Practice Address - Street 1:4315 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2706
Practice Address - Country:US
Practice Address - Phone:407-277-8781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL68538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist