Individual
MS. MICHELE LYNN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 CELEBRATION PL STE A140, CELEBRATION, FL 34747-4970
(407) 821-3620
Mailing address
5513 NEW INDEPENDENCE PKWY, WINTER GARDEN, FL 34787-8783
(740) 649-3223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9107366
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9107366
FL
Other
Enumeration date
07/06/2012
Last updated
11/04/2024
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