MEDICARE: DR. SYDNEY ALEXIS YOUNG DC

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	111N00000X	Chiropractor	15319	FL

General Provider Information

NPI Number	:	1487452900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYDNEY ALEXIS YOUNG DC

Provider Business Mailing Address
First Line	:	14508 SERENOA DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-8483
Country	:	US
Telephone Number	:	910-274-3719
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 BLANDING BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5823
Country	:	US
Telephone Number	:	904-379-4621
Fax Number	:	904-592-8683

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

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

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Directions to “ DR. SYDNEY ALEXIS YOUNG DC” Practice Location

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