Individual
JOHN DAVID YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7241 BRYAN DAIRY RD, LARGO, FL 33777-1538
(727) 545-4600
(727) 545-4611
Mailing address
7241 BRYAN DAIRY RD, LARGO, FL 33777-1538
(727) 545-4600
(727) 545-4611
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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