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Individual

MADISON MARIE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5151 WINTER GARDEN VINELAND RD STE 201, WINDERMERE, FL 34786-6098
(321) 842-4766
(321) 842-9360
Mailing address
7325 HOLLOW RIDGE CIR, ORLANDO, FL 32822-7896
(239) 771-5173

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9118342
FL
363AM0700X
Medical Physician Assistant
Primary
PA9118342
FL

Other

Enumeration date
06/19/2024
Last updated
08/07/2024
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