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Organization
JORDAN T YOUNG MD, PA
Active
Organization
JORDAN T YOUNG MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TERRELL YOUNG MD (PHYSICIAN)
(252) 258-6375
Entity
Organization
Contact information
Practice address
9332 STATE ROAD 54 STE 202, TRINITY, FL 34655-1810
(727) 597-4441
(727) 597-4445
Mailing address
9332 STATE ROAD 54 STE 202, TRINITY, FL 34655-1810
(727) 597-4441
(727) 597-4445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
ME112761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009376200
—
FL
Enumeration date
05/10/2012
Last updated
05/23/2024
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