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NPI Code Detail

MEDICARE: YOUNG ORTHOPEDICS INC

MEDICARE: YOUNG ORTHOPEDICS INC
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
1332BX2000XOxygen Equipment & Supplies (DME)32 03576FL
2332B00000XDurable Medical Equipment & Medical Supplies1086FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R9708OTHERFLBCBSF

General Provider Information

NPI Number : 1912904160
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUNG ORTHOPEDICS INC
Provider Business Mailing Address
First Line : 1204 E 4TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3502
Country : US
Telephone Number : 305-888-7996
Fax Number : 305-888-7763
Provider Business Practice Location Address
First Line : 1204 E 4TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3502
Country : US
Telephone Number : 305-888-7996
Fax Number : 305-888-7763
Authorized Official
Title or Position : PRESIDENT
Name : LISBETT HIDALGO
Credential :
Telephone Number : 305-888-7996
Provider Enumeration Date : 07/02/2005
Last Update Date : 10/09/2007

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Directions to “YOUNG ORTHOPEDICS INC ” Practice Location

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