Individual
WILLIAM YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10033 DOCTOR M.L.K. JR ST N, ST PETERSBURG, FL 33716
(800) 939-1643
Mailing address
8466 LOCKWOOD RIDGE RD, #340, SARASOTA, FL 34243-2951
(800) 939-1643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5159056
FL
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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