Individual
ANDREW L. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Mailing address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
220245
MA
2085R0202X
Diagnostic Radiology Physician
A95087
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME111851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
'011918500
—
FL
01
—
0108933Y0MA01
NH BLUE SHIELD
NH
05
—
2045150
—
MA
01
—
2236171
FIRST HEALTH
MA
01
—
30204317
NH MEDICAID
NH
01
—
3551415
AETNA/US HEALTHCARE
MA
01
—
469315
TUFTS HEALTH PLAN
MA
01
—
5540164
FIRST HEALTH CCN
MA
01
—
68312
HEALTHY START
MA
01
—
7800325
CIGNA
MA
01
—
90532
FALLON
MA
01
—
971089
NETWORK HEALTH PLAN
MA
01
—
AA17331
HARVARD PILGRIM HEALTH CA
MA
01
—
J27411
BLUE CROSS/BLUE SHIELD
MA
01
—
P00196700
RAIL ROAD MEDICARE
MA
Enumeration date
08/31/2005
Last updated
04/02/2015
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