Individual
DR. YOUSSEF W. WASSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
6801 NW 9TH BLVD, SUITE 4, GAINESVILLE, FL 32605-4269
(352) 367-3422
(352) 379-7707
Mailing address
PO BOX 358492, GAINESVILLE, FL 32635-8492
(352) 367-3422
(352) 379-7707
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME 0070490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267792000
—
FL
01
—
51651
BLUE CROSS BLUE SHIELD ID
FL
05
—
51651Z
—
FL
Enumeration date
09/25/2006
Last updated
05/26/2009
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