Individual
CAROLINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 259-8500
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1790562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300673500
—
FL
01
—
Y8154
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/16/2006
Last updated
01/14/2015
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