Individual
CHARLES CHESLEY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(321) 397-6211
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(321) 397-6211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD.015527
LA
Other
Enumeration date
03/23/2006
Last updated
09/08/2010
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