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Organization
DR BRADLEY H YOUNG D C P A
Active
Organization
DR BRADLEY H YOUNG D C P A
Active
Other names
Dr. Brad Young, Chiropractor
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY H YOUNG DC (PRESIDENT)
(850) 613-2044
Entity
Organization
Contact information
Practice address
6 11TH AVENUE, SUITE H-3, SHALIMAR, FL 32579
(850) 613-2044
(850) 613-6593
Mailing address
6 11TH AVENUE, SUITE H-3, SHALIMAR, FL 32579
(850) 613-2044
(850) 613-6593
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366538035
INDIVIDUAL NPI
—
05
—
381515300
—
FL
Enumeration date
05/28/2008
Last updated
06/23/2014
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