Provider Demographics
NPI:1902891864
Name:ANID, YOUSSEF SALIM (MD)
Entity Type:Individual
Prefix:DR
First Name:YOUSSEF
Middle Name:SALIM
Last Name:ANID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11373 CORTEZ BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-5411
Mailing Address - Country:US
Mailing Address - Phone:352-686-2972
Mailing Address - Fax:352-683-2657
Practice Address - Street 1:11373 CORTEZ BLVD STE 303
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5411
Practice Address - Country:US
Practice Address - Phone:352-686-2972
Practice Address - Fax:352-683-2657
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78520207RC0200X, 207RP1001X
FL98087207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004044500Medicaid
FLP01346837OtherRAILROAD MEDICARE
FL004044500Medicaid
FLP01346837OtherRAILROAD MEDICARE
MA3119840Medicaid