Individual
DR. JOHANNA L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10676 NW 19TH ST, DORAL, FL 33172-2542
(305) 403-3937
Mailing address
10917 NW 59TH ST, DORAL, FL 33178-2815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6207740
—
FL
Enumeration date
01/25/2007
Last updated
07/08/2007
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