Individual
EDWARD D. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1577 ROBERTS DR, SUITE 225, JACKSONVILLE BEACH, FL 32250-3264
(904) 241-1204
(904) 241-7331
Mailing address
1325 SAN MARCO BLVD, SUITE 701, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 241-7331
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME57493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704157-00
—
FL
Enumeration date
06/13/2005
Last updated
11/16/2020
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