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NPI Code Detail

MEDICARE: DR. SHARA L YOUNG MD

MEDICARE:  DR. SHARA L YOUNG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician0430027KS
2207V00000XObstetrics & Gynecology PhysicianME1245740FL

Other Identifiers

General Provider Information

NPI Number : 1124072962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARA L YOUNG MD
Provider Business Mailing Address
First Line : 101 RIVERFRONT BLVD STE 710
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8812
Country : US
Telephone Number : 941-776-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2318 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-5432
Country : US
Telephone Number : 941-714-7150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 10/04/2022

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Directions to “ DR. SHARA L YOUNG MD” Practice Location

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