MEDICARE: DR. THOMAS 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	3705	NC
2	111NS0005X	Sports Physician Chiropractor	CH-10813	FL

General Provider Information

NPI Number	:	1922143668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS YOUNG DC

Provider Business Mailing Address
First Line	:	28051 US HIGHWAY 19 N STE 106
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2642
Country	:	US
Telephone Number	:	919-609-4723
Fax Number	:

Provider Business Practice Location Address
First Line	:	28051 US HIGHWAY 19 N STE 106
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2642
Country	:	US
Telephone Number	:	727-400-6000
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	01/31/2023

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Directions to “ DR. THOMAS YOUNG DC” Practice Location

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