Individual
MR. CHARLES YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-7109
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123749300
—
FL
Enumeration date
06/06/2024
Last updated
12/12/2024
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