Individual
JOHN F YOUNG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2835 W DELEON ST, UNIT 203, TAMPA, FL 33609
(813) 353-0023
Mailing address
2835 W DELEON ST, UNIT 203, TAMPA, FL 33609
(813) 353-0023
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
151188
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9312707
FL
367500000X
Certified Registered Nurse Anesthetist
C02740
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159252001
—
AR
01
—
175118
MO BLUE SHIELD
MO
01
—
83490
ARK BLUE SHIELD
AR
05
—
917205809
—
MO
Enumeration date
02/01/2007
Last updated
01/04/2022
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