Active NPI
Mariam Hanna Youssef
- General Practice Dentistry
- Haines City, FL
National Provider Identifier
1558293340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN31711
- Practice address
- 35648 US Hwy 27 N
Haines City, FL 33844-3731 - Phone
- (863) 900-4593
- NPI assigned
- Jun 3, 2026
- Last updated
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN31711 | FL | Primary |
Addresses
Primary practice location
35648 US Hwy 27 N
Haines City, FL 33844-3731
Mailing address
1695 W Groveleaf Ave
Palm Harbor, FL 34683-3927
Phone (727) 348-0112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN31711 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1558293340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 W GROVELEAF AVE",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346833927",
"telephone_number": "727-348-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35648 US HWY 27 N",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338443731",
"telephone_number": "863-900-4593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSSEF",
"first_name": "MARIAM",
"middle_name": "HANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN31711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.