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Individual
JOHN DAVID YOUNG
Active
Individual
JOHN DAVID YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME0067443
FL
207QA0505X
Adult Medicine Physician
Primary
ME0067443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26698Y
MEDICARE ID
FL
Enumeration date
07/21/2006
Last updated
03/08/2012
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