Your Place Health System LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME47234 Issued in FL

Legal business name

YOUR PLACE HEALTH SYSTEM LLC

Practice address

1793 W Hillsborough Ave
Tampa, FL 33603-1130

Phone

(813) 443-0866

Fax

(813) 225-1583

NPI assigned

Sep 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sydel Y Legrande, M.D,

Title

Owner

Phone

(813) 443-0866

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1801129119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031130",
            "telephone_number": "813-443-0866",
            "fax_number": "813-225-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1793 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031130",
            "telephone_number": "813-443-0866",
            "fax_number": "813-225-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PLACE HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "LEGRANDE",
        "authorized_official_first_name": "SYDEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-443-0866",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME47234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-TAN",
            "identifier": "CY926A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "D44801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Your Best You, P.a.
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• Your House Alf Corp
• Your Mentality, LLC
• Your Story Counseling and Wellness LLC
• Shaden Yousef
• Maryann Youssef, OD
• Michael Robert Youssef, M.D.
• Dane J Youtz, ARNP

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.