Yousef, Ejaz

Yousef, Ejaz is an individual health care provider with primary practice located at 807 Childrens Way Nemours Childrens Clinic, Jacksonville, Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Yousef, Ejaz can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Nemours Childrens Clinic, Jacksonville Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 56579 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X ME120908 Florida
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 56579 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X C10006135 Delaware

Profile Details

NPI number 1205996402
LBN Legal business name Yousef, Ejaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated May 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205996402 NPPES
Florida MEDICAID 013670600
Florida MEDICAID 0033153424B
Florida MEDICAID 8003700
Florida MEDICAID 8301018
Florida MEDICAID 1205996402
Florida MEDICAID 64050859
Florida MEDICAID 001680789

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