Individual
DIANA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, BOX 6941, ST PETERSBURG, FL 33701-4634
(727) 767-3051
(727) 767-4970
Mailing address
501 6TH AVE S, BOX 6941, SAINT PETERSBURG, FL 33701-4634
(727) 767-3051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME106463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002031200
—
FL
Enumeration date
08/17/2007
Last updated
03/01/2011
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