Individual
DR. EJAZ YOUSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3455
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
56579
WI
2080P0201X
Pediatric Allergy/Immunology Physician
56579
WI
2080P0201X
Pediatric Allergy/Immunology Physician
C10006135
DE
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME120908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001680789
—
PA
05
—
0033153424B
—
GA
05
—
013670600
—
FL
05
—
1205996402
—
WI
05
—
64050859
—
KY
05
—
8003700
—
NJ
05
—
8301018
—
MD
Enumeration date
12/11/2006
Last updated
05/06/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us