MEDICARE: STEPHEN E YOUNG DO

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
1	207Q00000X	Family Medicine Physician	OS9170	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306844964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN E YOUNG DO

Provider Business Mailing Address
First Line	:	1850 PREVATT ST
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-6123
Country	:	US
Telephone Number	:	352-253-2511
Fax Number	:	352-253-2522

Provider Business Practice Location Address
First Line	:	1850 PREVATT ST
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-6123
Country	:	US
Telephone Number	:	352-253-2511
Fax Number	:	352-253-2522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	12/03/2025

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Directions to “ STEPHEN E YOUNG DO” Practice Location

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