Individual
DR. JERROLD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 SUNSET DR, SUITE 501, SOUTH MIAMI, FL 33143-4828
(305) 667-7878
(305) 667-7459
Mailing address
6200 SUNSET DR, SUITE 501, SOUTH MIAMI, FL 33143-4828
(305) 667-7878
(305) 667-7459
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME21428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78188A
INDIVIDUAL MEDICARE PTAN
FL
Enumeration date
06/09/2006
Last updated
12/18/2012
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