Individual
DR. ADRIA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
801 CR 466, SUITE 102 SUNSET PLAZA, LADY LAKE, FL 32159
(352) 350-2070
Mailing address
6740 NW 15TH AVE, OCALA, FL 34475-8557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC5469
MEDICAL STATE LICENSE NUMBER
FL
Enumeration date
06/08/2017
Last updated
10/06/2020
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