Individual
DR. MARVIN JASON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME80601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000105000
—
FL
05
—
GROUP # 000354800
—
FL
01
—
ME80601
STATE LICENSE #
FL
01
—
PTAN# DO3210
RR MEDICARE
FL
Enumeration date
09/28/2006
Last updated
03/07/2023
Update your record
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