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NPI Code Detail

MEDICARE: DR. WILLIAM BRENT YOUNG MD

MEDICARE:  DR. WILLIAM BRENT 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
1207Q00000XFamily Medicine PhysicianME0043188FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4020008163OTHERFLMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104767OTHERFLUNIVERSAL HEALTHCARE
26000173OTHERNYGHI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376649202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM BRENT YOUNG MD
Provider Business Mailing Address
First Line : 1550 PINEHURST DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-4555
Country : US
Telephone Number : 352-683-6947
Fax Number : 352-686-7335
Provider Business Practice Location Address
First Line : 1550 PINEHURST DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-4555
Country : US
Telephone Number : 352-683-6947
Fax Number : 352-686-7335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 01/17/2008

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1851732325 — DR. AMY ACKLEY D.M.D.
Practice Location Address:
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34606-4555
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Practice Fax: 352-666-1148

Directions to “ DR. WILLIAM BRENT YOUNG MD” Practice Location

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