Individual
DR. SAMUEL DOAK YOUNG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7679
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7679
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101240022
VA
207X00000X
Orthopaedic Surgery Physician
2005-00921
NC
207X00000X
Orthopaedic Surgery Physician
ME96716
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME96716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811003593
—
NC
05
—
2762374-00
—
FL
05
—
813042151A
—
FL
05
—
NC1999
—
SC
Enumeration date
08/22/2006
Last updated
09/18/2023
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