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Individual

ROBERT A DE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 840207, PEMBROKE PINES, FL 33084-2207

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME19435
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046958100
FL
Enumeration date
08/02/2006
Last updated
11/09/2010
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